LAURIE GREEN BURDICK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009881

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

GREEN

Last Name

BURDICK

Business Name

LAURIE GREEN BURDICK

Original Issue Date

12/03/2001

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

BETTENDORF

State

Zip

52722

County

IOWA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012