MARY ANN M LANE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002449

License Status

NOT RENEWED

Business

First Name

MARY ANN M

Last Name

LANE

Business Name

MARY ANN M LANE

Original Issue Date

08/31/1990

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CLEARWATER

State

Zip

33764

County

FLORIDA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006