GINA M ROAK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017830

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

ROAK

Business Name

GINA M ROAK

Original Issue Date

07/10/2015

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

DYER

State

Zip

46311

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/18/2025