GORDON E MEDLOCK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003598

License Status

ACTIVE

Business

First Name

GORDON

Middle

Last Name

MEDLOCK

Business Name

GORDON E MEDLOCK

Original Issue Date

05/28/1991

Effective Date

09/16/2025

Expiration Date

11/30/2027

City

ROSENDALE

State

Zip

12472

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

09/16/2025