SAMANTHA L CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150014469

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

CLARK

Business Name

SAMANTHA L CLARK

Original Issue Date

09/24/2013

Effective Date

10/13/2015

Expiration Date

11/30/2017

City

ANAMOSA

State

Zip

52205

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018