CHARLES G DEFIBAUGH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009058

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

DEFIBAUGH

Business Name

CHARLES G DEFIBAUGH

Original Issue Date

03/07/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ORRVILLE

State

Zip

44667

County

OHIO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006