SUSAN J FOX Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002754

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

FOX

Business Name

SUSAN J FOX

Original Issue Date

12/14/1990

Effective Date

10/30/2003

Expiration Date

11/30/2005

City

PALTO SPRINGS

State

Zip

92264

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006