CHRISTOPHER JAY GACKENHEIMER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016505

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JAY

Last Name

GACKENHEIMER

Business Name

CHRISTOPHER JAY GACKENHEIMER

Original Issue Date

02/27/2014

Effective Date

02/27/2014

Expiration Date

11/30/2015

City

WEST HAVEN

State

Zip

06516

County

CONNECTICUT

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016