MARTHA E WILZBACH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004175

License Status

NOT RENEWED

Business

First Name

MARTHA E

Last Name

WILZBACH

Business Name

MARTHA E WILZBACH

Original Issue Date

12/17/1991

Effective Date

10/22/2003

Expiration Date

11/30/2005

City

SALEM

State

Zip

62881

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006