KATHLEEN C FORT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012283

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

FORT

Business Name

KATHLEEN C FORT

Original Issue Date

12/19/2006

Effective Date

10/21/2013

Expiration Date

11/30/2015

City

WASHINGTON

State

Zip

20016

County

DISTRICT OF COLUMBIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016