DREW R DIVINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004522

License Status

NOT RENEWED

Business

First Name

DREW R

Last Name

DIVINE

Business Name

DREW R DIVINE

Original Issue Date

01/16/1992

Effective Date

09/12/2011

Expiration Date

11/30/2013

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014