OLIVIA BUSHUE RUSSELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019563

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

BUSHUE

Last Name

RUSSELL

Business Name

OLIVIA BUSHUE RUSSELL

Original Issue Date

07/18/2017

Effective Date

10/23/2017

Expiration Date

11/30/2019

City

INDIANAPOLIS

State

Zip

46203

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020