SAMANTHA FORD BUNDY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018490

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

FORD

Last Name

BUNDY

Business Name

SAMANTHA FORD BUNDY

Original Issue Date

05/13/2016

Effective Date

11/11/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/11/2025