VANESSA L BROUSSARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002146

License Status

NOT RENEWED

Business

First Name

VANESSA L

Last Name

BROUSSARD

Business Name

VANESSA L BROUSSARD

Original Issue Date

07/31/1990

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

TILDEN

State

Zip

62292

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018