SAMANTHA FORD BUNDY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150014886

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

FORD

Last Name

BUNDY

Business Name

SAMANTHA FORD BUNDY

Original Issue Date

04/30/2014

Effective Date

10/08/2015

Expiration Date

11/30/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018