STEPHANIE R GAXIOLA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009952

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

GAXIOLA

Business Name

STEPHANIE R GAXIOLA

Original Issue Date

01/10/2005

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

NOVATO

State

Zip

94949

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008