MITCHELL EDWIN FORREST Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023600

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

EDWIN

Last Name

FORREST

Business Name

MITCHELL EDWIN FORREST

Original Issue Date

08/03/2021

Effective Date

11/29/2025

Expiration Date

11/30/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/29/2025