SCOTT R PETERSEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010898

License Status

INACTIVE

Business

First Name

SCOTT

Middle

Last Name

PETERSEN

Business Name

SCOTT R PETERSEN

Original Issue Date

04/20/2004

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

DENVER

State

Zip

80203

County

COLORADO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017