GERALD A SLOT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003266

License Status

INACTIVE

Business

First Name

GERALD A

Last Name

SLOT

Business Name

GERALD A SLOT

Original Issue Date

03/29/1991

Effective Date

10/05/2001

Expiration Date

11/30/2001

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005