LAURA ALYCE BLACK - Social Worker License in Indiana | # 149016083

LAURA ALYCE BLACK

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016083

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

ALYCE

Last Name

BLACK

Business Name

LAURA ALYCE BLACK

Original Issue Date

07/24/2013

Effective Date

10/02/2013

Expiration Date

11/30/2015

State

IN

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/08/2016