JUDITH ANN SMITH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010401

License Status

INACTIVE

Business

First Name

JUDITH

Middle

ANN

Last Name

SMITH

Business Name

JUDITH ANN SMITH

Original Issue Date

02/14/2003

Effective Date

01/23/2004

Expiration Date

11/30/2003

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005