MARY A PETERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010955

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PETERSON

Business Name

MARY A PETERSON

Original Issue Date

06/11/2004

Effective Date

11/12/2015

Expiration Date

11/30/2017

City

ST LOUIS

State

Zip

63117

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018