MARY BERKLEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006519

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

BERKLEY

Business Name

MARY BERKLEY

Original Issue Date

06/22/1995

Effective Date

10/13/2009

Expiration Date

11/30/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012