ANDREW M WAITE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016118

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

WAITE

Business Name

ANDREW M WAITE

Original Issue Date

08/14/2013

Effective Date

11/18/2015

Expiration Date

11/30/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018