RICHARD BROUILLETTE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019941

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

BROUILLETTE

Business Name

RICHARD BROUILLETTE

Original Issue Date

12/06/2017

Effective Date

12/06/2017

Expiration Date

11/30/2019

City

SAN DIEGO

State

Zip

92103

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020