MALLORY CATHERINE SAMPLE - Social Worker License in Missouri | # 149015685

MALLORY CATHERINE SAMPLE

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015685

License Status

NOT RENEWED

Business

N

First Name

MALLORY

Middle

CATHERINE

Last Name

SAMPLE

Business Name

MALLORY CATHERINE SAMPLE

Original Issue Date

01/18/2013

Effective Date

09/11/2017

Expiration Date

11/30/2019

State

MO

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/23/2020