PENELOPE K SHAW Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150000702

License Status

INACTIVE

Business

First Name

PENELOPE K

Last Name

SHAW

Business Name

PENELOPE K SHAW

Original Issue Date

08/18/1989

Expiration Date

11/30/1991

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/03/2005