JOHN G ROTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002530

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

ROTH

Business Name

JOHN G ROTH

Original Issue Date

10/19/1990

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006