GINA LYNN BRAHAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018620

License Status

NOT RENEWED

Business

First Name

GINA

Middle

LYNN

Last Name

BRAHAM

Business Name

GINA LYNN BRAHAM

Original Issue Date

06/28/2016

Effective Date

09/12/2019

Expiration Date

02/28/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022