PHYLLIS K FESS BAKER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005498

License Status

INACTIVE

Business

First Name

PHYLLIS K

Last Name

FESS BAKER

Business Name

PHYLLIS K FESS BAKER

Original Issue Date

07/12/1993

Effective Date

08/13/2004

Expiration Date

11/30/2005

City

ATASCADERO

State

Zip

93422

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005