SAMANTHA MARIE CLARKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018475

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

CLARKE

Business Name

SAMANTHA MARIE CLARKE

Original Issue Date

05/03/2016

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

BLOOMINGTON

State

Zip

61704

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022