WILLIAM M BRUINSMA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005198

License Status

NOT RENEWED

Business

First Name

WILLIAM M

Last Name

BRUINSMA

Business Name

WILLIAM M BRUINSMA

Original Issue Date

12/21/1992

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006