PHILLPS L LEWIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001343

License Status

INACTIVE

Business

First Name

PHILLPS L

Last Name

LEWIS

Business Name

PHILLPS L LEWIS

Original Issue Date

12/28/1989

Effective Date

11/20/2003

Expiration Date

11/30/2003

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005