TERA J BOETTCHER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015105

License Status

NOT RENEWED

Business

First Name

TERA

Middle

Last Name

BOETTCHER

Business Name

TERA J BOETTCHER

Original Issue Date

01/25/2012

Effective Date

09/13/2013

Expiration Date

11/30/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016