SHANNON AMBER WILSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015191

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

AMBER

Last Name

WILSON

Business Name

SHANNON AMBER WILSON

Original Issue Date

03/15/2012

Effective Date

03/15/2012

Expiration Date

11/30/2013

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014