JOHANNA D ZABAWA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017927

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

Last Name

ZABAWA

Business Name

JOHANNA D ZABAWA

Original Issue Date

08/27/2015

Effective Date

11/17/2015

Expiration Date

11/30/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018