BEVERLY A CHAPLAIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008687

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

CHAPLAIN

Business Name

BEVERLY A CHAPLAIN

Original Issue Date

06/15/1999

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008