CARLIE MARY SHANNON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022573

License Status

NOT RENEWED

Business

First Name

CARLIE

Middle

MARY

Last Name

SHANNON

Business Name

CARLIE MARY SHANNON

Original Issue Date

09/29/2020

Effective Date

09/29/2020

Expiration Date

02/28/2022

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022