DALE ROBERT SHANK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017526

License Status

NOT RENEWED

Business

First Name

DALE ROBERT

Last Name

SHANK

Business Name

DALE ROBERT SHANK

Original Issue Date

04/13/2015

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

CAMP POINT

State

Zip

62320

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018