PROVENA COVENANT MEDICAL CENTER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

REGISTERED SOCIAL WORKER CE SPONSOR

License Number

159000469

License Status

NOT RENEWED

Business

Business Name

PROVENA COVENANT MEDICAL CENTER

Original Issue Date

05/08/1995

Effective Date

11/03/2009

Expiration Date

11/30/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/05/2012