JOHN S SOUTHARD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150000734

License Status

INACTIVE

Business

First Name

JOHN S

Last Name

SOUTHARD

Business Name

JOHN S SOUTHARD

Original Issue Date

08/18/1989

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007