KRISTI LYN SMITH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009450

License Status

INACTIVE

Business

First Name

KRISTI

Middle

LYN

Last Name

SMITH

Business Name

KRISTI LYN SMITH

Original Issue Date

12/19/2000

Effective Date

12/15/2003

Expiration Date

11/30/2005

City

PHOENIX

State

Zip

85003

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005