MARY M BERG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000754

License Status

INACTIVE

Business

First Name

MARY M

Last Name

BERG

Business Name

MARY M BERG

Original Issue Date

10/07/1989

Effective Date

11/07/2017

Expiration Date

11/30/2019

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019