ILANA M CRADDOCK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014751

License Status

NOT RENEWED

Business

First Name

ILANA

Middle

Last Name

CRADDOCK

Business Name

ILANA M CRADDOCK

Original Issue Date

06/14/2011

Effective Date

10/10/2017

Expiration Date

11/30/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020