Name | BUSCEMI CARMAN CHARLES |
---|---|
Address | UNIONDALENY |
Profession | LICENSED MASTER SOCIAL WORK |
License No | 004005 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/11/68) |
Additional Qualification | |
Status | INACTIVE |
Registered through last day of |