LISA M JOHNSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009315

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

JOHNSON

Business Name

LISA M JOHNSON

Original Issue Date

07/23/2003

Effective Date

11/04/2003

Expiration Date

11/30/2005

City

ANNAWAN

State

Zip

61234

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006