Name | RESANOVICH DANIEL |
---|---|
Address | SPRING VALLEYNY |
Profession | LICENSED MASTER SOCIAL WORK |
License No | 000595 |
Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron05/19/66) |
Additional Qualification | |
Status | INACTIVE |
Registered through last day of |