GINA K CLARKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009898

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

CLARKE

Business Name

GINA K CLARKE

Original Issue Date

11/10/2004

Effective Date

11/16/2011

Expiration Date

11/30/2013

City

WARSAW

State

Zip

62379

County

HANCOCK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014