MARY A BERGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010476

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BERGEN

Business Name

MARY A BERGEN

Original Issue Date

03/27/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHARLESTON

State

Zip

29407

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010