TIA R GIPSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000830

License Status

NOT RENEWED

Business

First Name

TIA R

Last Name

GIPSON

Business Name

TIA R GIPSON

Original Issue Date

04/22/1991

Effective Date

11/23/2021

Expiration Date

11/30/2023

City

WATERVLIET

State

Zip

49098

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024