SHANE CRISTOPHER MAXWELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013058

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

CRISTOPHER

Last Name

MAXWELL

Business Name

SHANE CRISTOPHER MAXWELL

Original Issue Date

05/13/2008

Effective Date

11/23/2009

Expiration Date

11/30/2011

City

PHOENIX

State

Zip

85027

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012