MELANIE JANE NICHOLLS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020802

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

JANE

Last Name

NICHOLLS

Business Name

MELANIE JANE NICHOLLS

Original Issue Date

12/13/2018

Effective Date

09/10/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022