BETHANY BASINGER COBURN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014345

License Status

INACTIVE

Business

First Name

BETHANY

Middle

BASINGER

Last Name

COBURN

Business Name

BETHANY BASINGER COBURN

Original Issue Date

09/09/2010

Effective Date

09/30/2013

Expiration Date

11/30/2015

City

DAVIS

State

Zip

95618

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015