EMILY IRENE BOLLMANN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013048

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

IRENE

Last Name

BOLLMANN

Business Name

EMILY IRENE BOLLMANN

Original Issue Date

05/07/2008

Effective Date

11/24/2015

Expiration Date

11/30/2017

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018