KELLY M CROCCO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007057

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CROCCO

Business Name

KELLY M CROCCO

Original Issue Date

08/11/1997

Effective Date

10/30/2003

Expiration Date

11/30/2005

City

SURPRISE

State

Zip

85374

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006