DEDRA MONIQUE RIDDICK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015217

License Status

NOT RENEWED

Business

First Name

DEDRA

Middle

MONIQUE

Last Name

RIDDICK

Business Name

DEDRA MONIQUE RIDDICK

Original Issue Date

04/03/2012

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

ALLENTOWN

State

Zip

18103

County

PENNSYLVANIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018