CHISTOPHER MICHAEL DAVID Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012107

License Status

NOT RENEWED

Business

First Name

CHISTOPHER

Middle

MICHAEL

Last Name

DAVID

Business Name

CHISTOPHER MICHAEL DAVID

Original Issue Date

08/23/2006

Effective Date

11/30/2011

Expiration Date

11/30/2013

City

SALEM

State

Zip

53168

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014