CLARK A MITCHELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019393

License Status

NOT RENEWED

Business

First Name

CLARK

Middle

Last Name

MITCHELL

Business Name

CLARK A MITCHELL

Original Issue Date

05/11/2017

Effective Date

01/24/2022

Expiration Date

11/30/2023

City

MISHAWAKA

State

Zip

46545

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024