TERRY LAROYCE PAGE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015507

License Status

INACTIVE

Business

First Name

TERRY

Middle

LAROYCE

Last Name

PAGE

Business Name

TERRY LAROYCE PAGE

Original Issue Date

09/28/2012

Effective Date

12/03/2021

Expiration Date

11/30/2023

City

SAINT LOUIS

State

Zip

63130

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/01/2023