PHYLLIS J MOUTRAY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002185

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

MOUTRAY

Business Name

PHYLLIS J MOUTRAY

Original Issue Date

07/31/1990

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010