EVE A BUBOLTZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002491

License Status

NOT RENEWED

Business

First Name

EVE A

Last Name

BUBOLTZ

Business Name

EVE A BUBOLTZ

Original Issue Date

10/16/1990

Effective Date

10/13/2009

Expiration Date

11/30/2011

City

GOODYEAR

State

Zip

85338

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012