THOMAS F BUCKINGHAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010947

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

BUCKINGHAM

Business Name

THOMAS F BUCKINGHAM

Original Issue Date

06/09/2004

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ROYALTON

State

Zip

62983

County

FRANKLIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008