EUGENE MASK - Social Worker License in Indiana | # 149004019

EUGENE MASK

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004019

License Status

NOT RENEWED

Business

N

First Name

EUGENE

Last Name

MASK

Business Name

EUGENE MASK

Original Issue Date

09/30/1991

Effective Date

10/31/2019

Expiration Date

02/28/2022

State

IN

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

07/27/2022