AMY M WINE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006785

License Status

INACTIVE

Business

First Name

AMY M

Last Name

WINE

Business Name

AMY M WINE

Original Issue Date

10/24/1996

Effective Date

10/09/2001

Expiration Date

11/30/2001

City

DAVENPORT

State

Zip

52804

County

IOWA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005