PHYLLIS M MAST Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012442

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

MAST

Business Name

PHYLLIS M MAST

Original Issue Date

04/18/2007

Effective Date

11/21/2013

Expiration Date

11/30/2015

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016