TARA LEIGH COOK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013343

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LEIGH

Last Name

COOK

Business Name

TARA LEIGH COOK

Original Issue Date

11/24/2008

Effective Date

10/02/2009

Expiration Date

11/30/2011

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012