DOLORES L DERSTINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000791

License Status

NOT RENEWED

Business

First Name

DOLORES L

Last Name

DERSTINE

Business Name

DOLORES L DERSTINE

Original Issue Date

10/21/1989

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

PLEASANT HILL

State

Zip

38578

County

TENNESSEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006