SUSAN E BACK - Social Worker License in Arizona | # 149007766

SUSAN E BACK

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007766

License Status

INACTIVE

Business

N

First Name

SUSAN E

Last Name

BACK

Business Name

SUSAN E BACK

Original Issue Date

08/13/1997

Expiration Date

11/30/1999

State

AZ

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005