RALPH H AMEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008113

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

AMEN

Business Name

RALPH H AMEN

Original Issue Date

03/21/2000

Effective Date

10/04/2013

Expiration Date

11/30/2015

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016