BETTY LOUISE WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016156

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

LOUISE

Last Name

WAGNER

Business Name

BETTY LOUISE WAGNER

Original Issue Date

09/04/2013

Effective Date

11/17/2015

Expiration Date

11/30/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018