THERESA D GOSCINSKI Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011039

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

GOSCINSKI

Business Name

THERESA D GOSCINSKI

Original Issue Date

07/29/2004

Effective Date

12/03/2009

Expiration Date

11/30/2011

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012