MARY BAUMGARDEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004115

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

BAUMGARDEN

Business Name

MARY BAUMGARDEN

Original Issue Date

11/27/1991

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010