BONNIE K BURG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004556

License Status

NOT RENEWED

Business

First Name

BONNIE K

Last Name

BURG

Business Name

BONNIE K BURG

Original Issue Date

01/29/1992

Effective Date

11/02/2015

Expiration Date

11/30/2017

City

EASTSOUND

State

Zip

98245

County

WASHINGTON STATE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018