MARK CHARLES WOLLAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019737

License Status

NOT RENEWED

Business

First Name

MARK

Middle

CHARLES

Last Name

WOLLAM

Business Name

MARK CHARLES WOLLAM

Original Issue Date

09/29/2017

Effective Date

12/01/2021

Expiration Date

11/30/2023

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024