SAMUEL E PRENTICE JR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004023

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

PRENTICE JR

Business Name

SAMUEL E PRENTICE JR

Original Issue Date

09/30/1991

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

ANAHEIM

State

Zip

92806

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016