ANN NICOLE AMBROSE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027051

License Status

ACTIVE

Business

First Name

ANN

Middle

NICOLE

Last Name

AMBROSE

Business Name

ANN NICOLE AMBROSE

Original Issue Date

04/17/2024

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025