AMBER T CLARK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009974

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

CLARK

Business Name

AMBER T CLARK

Original Issue Date

02/16/2005

Effective Date

11/12/2009

Expiration Date

11/30/2011

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011