AMY ELIZABETH PRUDENCIO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014863

License Status

ACTIVE

Business

First Name

AMY

Middle

ELIZABETH

Last Name

PRUDENCIO

Business Name

AMY ELIZABETH PRUDENCIO

Original Issue Date

08/16/2011

Effective Date

11/07/2025

Expiration Date

11/30/2027

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/07/2025