STACEY M GILLETTE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021666

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GILLETTE

Business Name

STACEY M GILLETTE

Original Issue Date

10/03/2019

Effective Date

12/01/2021

Expiration Date

11/30/2023

City

FARMINGTON

State

Zip

63640

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024