JILL K E BERUBE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012862

License Status

NOT RENEWED

Business

First Name

JILL K

Middle

Last Name

BERUBE

Business Name

JILL K E BERUBE

Original Issue Date

01/07/2008

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

CARBONDALE

State

Zip

62903

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022