CAROL B DONNELLY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006174

License Status

NOT RENEWED

Business

First Name

CAROL B

Last Name

DONNELLY

Business Name

CAROL B DONNELLY

Original Issue Date

10/05/1994

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

THREE RIVERS

State

Zip

49093

County

MICHIGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006