MARK J MAYHEW Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013118

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MAYHEW

Business Name

MARK J MAYHEW

Original Issue Date

06/19/2008

Effective Date

09/28/2009

Expiration Date

11/30/2011

City

WESTFIELD

State

Zip

46074

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012