TERRENCE W BENNIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004158

License Status

INACTIVE

Business

First Name

TERRENCE W

Last Name

BENNIS

Business Name

TERRENCE W BENNIS

Original Issue Date

12/17/1991

Effective Date

11/09/2001

Expiration Date

11/30/2001

City

LAPORTE

State

Zip

46350

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005