JESUS OCTAVIO GONZALEZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019140

License Status

NOT RENEWED

Business

First Name

JESUS

Middle

OCTAVIO

Last Name

GONZALEZ

Business Name

JESUS OCTAVIO GONZALEZ

Original Issue Date

02/21/2017

Effective Date

09/20/2019

Expiration Date

02/28/2022

City

VAIL

State

Zip

85641

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022