TINA M INGRAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028135

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

INGRAM

Business Name

TINA M INGRAM

Original Issue Date

11/13/2024

Effective Date

11/13/2024

Expiration Date

11/30/2025

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026