VIRGINIA EILEEN BOLAN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020864

License Status

ACTIVE

Business

First Name

VIRGINIA

Middle

EILEEN

Last Name

BOLAN

Business Name

VIRGINIA EILEEN BOLAN

Original Issue Date

01/09/2019

Effective Date

11/16/2025

Expiration Date

11/30/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/16/2025