JERILYNN FRIEDLAND LE VINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005028

License Status

NOT RENEWED

Business

First Name

JERILYNN

Middle

FRIEDLAND

Last Name

LE VINE

Business Name

JERILYNN FRIEDLAND LE VINE

Original Issue Date

08/24/1992

Effective Date

11/25/2003

Expiration Date

11/30/2005

City

CLAVERACK

State

Zip

12513

County

NEW YORK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006