AMANDA L CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009376

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

CLARK

Business Name

AMANDA L CLARK

Original Issue Date

09/15/2003

Effective Date

11/18/2009

Expiration Date

11/30/2011

City

ROUND LAKE

State

Zip

60073

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012