MARY MICHELLE ADAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006065

License Status

NOT RENEWED

Business

First Name

MARY MICHELLE

Last Name

ADAM

Business Name

MARY MICHELLE ADAM

Original Issue Date

06/01/1995

Effective Date

11/16/2021

Expiration Date

11/30/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024