LARRY A STOUT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004386

License Status

NOT RENEWED

Business

First Name

LARRY A

Last Name

STOUT

Business Name

LARRY A STOUT

Original Issue Date

12/17/1991

Effective Date

11/07/2011

Expiration Date

11/30/2013

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014