CORNEL SHEPHERD GRAY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013757

License Status

NOT RENEWED

Business

First Name

CORNEL

Middle

SHEPHERD

Last Name

GRAY

Business Name

CORNEL SHEPHERD GRAY

Original Issue Date

08/12/2009

Effective Date

11/25/2019

Expiration Date

02/28/2022

City

WASHINGTON

State

Zip

47501

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022