STACEY J WIGGINS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008443

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

WIGGINS

Business Name

STACEY J WIGGINS

Original Issue Date

02/23/2001

Effective Date

12/01/2003

Expiration Date

11/30/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

10/28/2006