ROBERT D BURNS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004011

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

BURNS

Business Name

ROBERT D BURNS

Original Issue Date

09/19/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

DELAVAN

State

Zip

53115

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006