MITCHELL EDWIN FORREST Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010263

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

EDWIN

Last Name

FORREST

Business Name

MITCHELL EDWIN FORREST

Original Issue Date

10/05/2005

Effective Date

11/27/2019

Expiration Date

02/28/2022

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022