DIANA J SILLS-BAILIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005072

License Status

NOT RENEWED

Business

First Name

DIANA J

Last Name

SILLS-BAILIN

Business Name

DIANA J SILLS-BAILIN

Original Issue Date

09/21/1992

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

DUNEDIN

State

Zip

34698

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/24/2017