MARY M HENDERSHOTT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007124

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

HENDERSHOTT

Business Name

MARY M HENDERSHOTT

Original Issue Date

06/19/1996

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

DAVENPORT

State

Zip

52803

County

SCOTT

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006