JULIO C VELAZQUEZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009902

License Status

INACTIVE

Business

First Name

JULIO

Middle

Last Name

VELAZQUEZ

Business Name

JULIO C VELAZQUEZ

Original Issue Date

12/19/2001

Effective Date

01/13/2010

Expiration Date

11/30/2011

City

PORTAGE

State

Zip

46368

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011