DENNIS G PETTY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004075

License Status

NOT RENEWED

Business

First Name

DENNIS G

Last Name

PETTY

Business Name

DENNIS G PETTY

Original Issue Date

10/30/1991

Effective Date

10/07/2013

Expiration Date

11/30/2015

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016