SHIRLEY E WILD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007112

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

WILD

Business Name

SHIRLEY E WILD

Original Issue Date

09/23/1997

Effective Date

06/04/2004

Expiration Date

11/30/2001

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006