DIANNE D MOSS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000384

License Status

NOT RENEWED

Business

First Name

DIANNE D

Last Name

MOSS

Business Name

DIANNE D MOSS

Original Issue Date

10/07/1989

Effective Date

09/24/2019

Expiration Date

02/28/2022

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022