CAROL J ELLIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013933

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

ELLIS

Business Name

CAROL J ELLIS

Original Issue Date

11/18/2009

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020