EUGENE MASK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004019

License Status

NOT RENEWED

Business

First Name

EUGENE

Last Name

MASK

Business Name

EUGENE MASK

Original Issue Date

09/30/1991

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022