MAMIE LOIS TISUE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015112

License Status

NOT RENEWED

Business

First Name

MAMIE

Middle

LOIS

Last Name

TISUE

Business Name

MAMIE LOIS TISUE

Original Issue Date

01/25/2012

Effective Date

11/10/2015

Expiration Date

11/30/2017

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018