TANYA KELLAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009073

License Status

NOT RENEWED

Business

First Name

TANYA

Last Name

KELLAM

Business Name

TANYA KELLAM

Original Issue Date

10/03/2002

Effective Date

11/17/2003

Expiration Date

11/30/2005

City

VENTURA

State

Zip

93001

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006