ROBIN W RUSSELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008984

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

Last Name

RUSSELL

Business Name

ROBIN W RUSSELL

Original Issue Date

02/08/2000

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010