PHYLLIS N HENDRICKS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006642

License Status

INACTIVE

Business

First Name

PHYLLIS N

Last Name

HENDRICKS

Business Name

PHYLLIS N HENDRICKS

Original Issue Date

08/15/1996

Effective Date

01/07/2004

Expiration Date

11/30/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

12/16/2005