KEITH DJARD WYGLE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013660

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

DJARD

Last Name

WYGLE

Business Name

KEITH DJARD WYGLE

Original Issue Date

06/17/2009

Effective Date

11/28/2011

Expiration Date

11/30/2013

City

VALPARAISO

State

Zip

46383

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/17/2014