DAVID E BEAUVAIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004964

License Status

INACTIVE

Business

First Name

DAVID E

Last Name

BEAUVAIS

Business Name

DAVID E BEAUVAIS

Original Issue Date

08/04/1992

Effective Date

11/04/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/15/2021