LISE M STROM Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004956

License Status

INACTIVE

Business

First Name

LISE M

Last Name

STROM

Business Name

LISE M STROM

Original Issue Date

08/04/1992

Effective Date

10/13/2011

Expiration Date

11/30/2013

City

SAN CLEMENTE

State

Zip

92673

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013