DOROTHY ANN WINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013200

License Status

NOT RENEWED

Business

First Name

DOROTHY

Middle

ANN

Last Name

WINE

Business Name

DOROTHY ANN WINE

Original Issue Date

08/21/2008

Effective Date

10/13/2009

Expiration Date

11/30/2011

City

FALLS CHURCH

State

Zip

22043

County

VIRGINIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012