AMANDA DIANE CLARK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149031039

License Status

ACTIVE

Business

First Name

AMANDA

Middle

DIANE

Last Name

CLARK

Business Name

AMANDA DIANE CLARK

Original Issue Date

01/22/2026

Effective Date

01/22/2026

Expiration Date

11/30/2027

City

RIVERTON

State

Zip

62561

County

SANGAMON

Specialty/Qualifier

Master's Degree

Ever Disciplined

LastModifiedDate

01/21/2026