CRYSTAL R HODGE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005744

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

HODGE

Business Name

CRYSTAL R HODGE

Original Issue Date

12/14/1993

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ANTHEM

State

Zip

85086

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006