DANIELLE M WALLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008253

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

WALLER

Business Name

DANIELLE M WALLER

Original Issue Date

08/23/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006