KRISTEN MARIE CLARKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009618

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MARIE

Last Name

CLARKE

Business Name

KRISTEN MARIE CLARKE

Original Issue Date

06/10/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010