TERRA LEE FAIRBURN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008317

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

LEE

Last Name

FAIRBURN

Business Name

TERRA LEE FAIRBURN

Original Issue Date

10/18/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

COLONA

State

Zip

61241

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006