SHARONA LA'TICE LEWIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016264

License Status

INACTIVE

Business

First Name

SHARONA

Middle

LA'TICE

Last Name

LEWIS

Business Name

SHARONA LA'TICE LEWIS

Original Issue Date

10/29/2013

Effective Date

11/25/2015

Expiration Date

11/30/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017