STEPHANIE ROSE PURDOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018746

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ROSE

Last Name

PURDOM

Business Name

STEPHANIE ROSE PURDOM

Original Issue Date

08/11/2016

Effective Date

11/18/2019

Expiration Date

02/28/2022

City

COLUMBUS

State

Zip

43205

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022