KAREN M DODGE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003340

License Status

NOT RENEWED

Business

First Name

KAREN M

Last Name

DODGE

Business Name

KAREN M DODGE

Original Issue Date

03/29/1991

Expiration Date

11/30/1991

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/02/2005