LISA R DERION Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005932

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

DERION

Business Name

LISA R DERION

Original Issue Date

04/26/1994

Effective Date

11/20/2003

Expiration Date

11/30/2003

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005