V YVONNE WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006812

License Status

NOT RENEWED

Business

First Name

V YVONNE

Last Name

WAGNER

Business Name

V YVONNE WAGNER

Original Issue Date

12/04/1995

Effective Date

09/18/2017

Expiration Date

11/30/2019

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020