SHANNON ELAINE PARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008062

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

ELAINE

Last Name

PARK

Business Name

SHANNON ELAINE PARK

Original Issue Date

02/09/2000

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006