TERESA M DAVIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009832

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

DAVIS

Business Name

TERESA M DAVIS

Original Issue Date

11/14/2001

Effective Date

10/11/2011

Expiration Date

11/30/2013

City

INDIANAPOLIS

State

Zip

46241

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014