SUSAN L CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015211

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARK

Business Name

SUSAN L CLARK

Original Issue Date

04/03/2012

Effective Date

11/14/2013

Expiration Date

11/30/2015

City

PUEBLO

State

Zip

81003

County

COLORADO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016