LORI MIX BACON - Social Worker License in Tennessee | # 149016654

LORI MIX BACON

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016654

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

MIX

Last Name

BACON

Business Name

LORI MIX BACON

Original Issue Date

04/30/2014

Effective Date

04/30/2014

Expiration Date

11/30/2015

State

TN

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/08/2016