JUANITA C MATLOCK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022186

License Status

ACTIVE

Business

First Name

JUANITA

Middle

Last Name

MATLOCK

Business Name

JUANITA C MATLOCK

Original Issue Date

05/05/2020

Effective Date

11/14/2025

Expiration Date

11/30/2027

City

LAKE STATION

State

Zip

46405

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/14/2025