DALE A KEITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000363

License Status

NOT RENEWED

Business

First Name

DALE A

Last Name

KEITH

Business Name

DALE A KEITH

Original Issue Date

10/07/1989

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROGERSVILLE

State

Zip

37857

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006