GARY ENGENE BORGARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009664

License Status

NOT RENEWED

Business

First Name

GARY

Middle

ENGENE

Last Name

BORGARD

Business Name

GARY ENGENE BORGARD

Original Issue Date

08/02/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008