PAUL R WHITE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002997

License Status

NOT RENEWED

Business

First Name

PAUL R

Last Name

WHITE

Business Name

PAUL R WHITE

Original Issue Date

12/29/1990

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016