JANET L BRUNDAGE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004659

License Status

NOT RENEWED

Business

First Name

JANET L

Last Name

BRUNDAGE

Business Name

JANET L BRUNDAGE

Original Issue Date

04/03/1992

Effective Date

11/23/2009

Expiration Date

11/30/2011

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012