GENEVIEVE C DISTASIO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002027

License Status

ACTIVE

Business

First Name

GENEVIEVE C

Last Name

DISTASIO

Business Name

GENEVIEVE C DISTASIO

Original Issue Date

07/31/1990

Effective Date

09/25/2025

Expiration Date

11/30/2027

City

SAINT LOUIS

State

Zip

63112

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/25/2025