ANN M PETTY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007636

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

PETTY

Business Name

ANN M PETTY

Original Issue Date

01/22/1999

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006