PATRICIA A BOTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006545

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

BOTH

Business Name

PATRICIA A BOTH

Original Issue Date

07/11/1995

Effective Date

11/04/2019

Expiration Date

02/28/2022

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022