DIANA A PHILLPOTTS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006578

License Status

INACTIVE

Business

First Name

DIANA A

Last Name

PHILLPOTTS

Business Name

DIANA A PHILLPOTTS

Original Issue Date

08/03/1995

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

TAMPA

State

Zip

33629

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009