LISA MICHELLE MOEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008365

License Status

INACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

MOEN

Business Name

LISA MICHELLE MOEN

Original Issue Date

11/28/2000

Effective Date

11/03/2003

Expiration Date

11/30/2005

City

NAPERVILLE

State

Zip

60565

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005