KIM A NEWBERRY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008900

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

NEWBERRY

Business Name

KIM A NEWBERRY

Original Issue Date

11/22/1999

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

LENZBURG

State

Zip

62255

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011