MALITTA V ENGSTROM - Social Worker License in Pennsylvania | # 149011350

MALITTA V ENGSTROM

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011350

License Status

INACTIVE

Business

N

First Name

MALITTA

Middle

V

Last Name

ENGSTROM

Business Name

MALITTA V ENGSTROM

Original Issue Date

04/07/2005

Effective Date

11/12/2013

Expiration Date

11/30/2015

State

PA

Specialty/Qualifier

DOCTORATE

Ever Disciplined

N

LastModifiedDate

09/04/2015