CRYSTAL L PORT - Social Worker License in Kansas | # 150009895

CRYSTAL L PORT

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009895

License Status

INACTIVE

Business

N

First Name

CRYSTAL

Middle

L

Last Name

PORT

Business Name

CRYSTAL L PORT

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

11/30/2005

State

KS

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005