KEVIN D CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150014266

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

CLARK

Business Name

KEVIN D CLARK

Original Issue Date

05/22/2013

Effective Date

09/12/2013

Expiration Date

11/30/2015

City

BASKING RIDGE

State

Zip

07920

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016