ANN L CHAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004709

License Status

INACTIVE

Business

First Name

ANN

Middle

Last Name

CHAN

Business Name

ANN L CHAN

Original Issue Date

09/21/1992

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009