CAMILLA ARIEL WALLACE - Social Worker License in Missouri | # 149013306

CAMILLA ARIEL WALLACE

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013306

License Status

NOT RENEWED

Business

N

First Name

CAMILLA

Middle

ARIEL

Last Name

WALLACE

Business Name

CAMILLA ARIEL WALLACE

Original Issue Date

10/23/2008

Effective Date

11/19/2013

Expiration Date

11/30/2015

State

MO

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/08/2016