SHIRLEY M FORCUM Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020198

License Status

ACTIVE

Business

First Name

SHIRLEY

Middle

Last Name

FORCUM

Business Name

SHIRLEY M FORCUM

Original Issue Date

03/26/2018

Effective Date

09/13/2025

Expiration Date

11/30/2027

City

TILDEN

State

Zip

62292

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/13/2025