CAROLYN R BERRY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004428

License Status

NOT RENEWED

Business

First Name

CAROLYN R

Last Name

BERRY

Business Name

CAROLYN R BERRY

Original Issue Date

12/17/1991

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006