DAVID W SMITH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004794

License Status

INACTIVE

Business

First Name

DAVID W

Last Name

SMITH

Business Name

DAVID W SMITH

Original Issue Date

04/17/1992

Effective Date

11/25/2019

Expiration Date

02/28/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2021