OPAL G CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009734

License Status

NOT RENEWED

Business

First Name

OPAL

Middle

Last Name

CLARK

Business Name

OPAL G CLARK

Original Issue Date

08/13/2004

Effective Date

11/01/2011

Expiration Date

11/30/2013

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

02/19/2014