PHYLLIS CARLSON WOODWARD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009206

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

CARLSON

Last Name

WOODWARD

Business Name

PHYLLIS CARLSON WOODWARD

Original Issue Date

06/23/2000

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

DAVENPORT

State

Zip

52807

County

IOWA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017