STACIA I PENROD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025318

License Status

ACTIVE

Business

First Name

STACIA

Middle

Last Name

PENROD

Business Name

STACIA I PENROD

Original Issue Date

02/15/2023

Effective Date

10/03/2025

Expiration Date

11/30/2027

City

ELDORADO

State

Zip

62930

County

SALINE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/03/2025