SANDRA H MOSS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005294

License Status

NOT RENEWED

Business

First Name

SANDRA H

Last Name

MOSS

Business Name

SANDRA H MOSS

Original Issue Date

02/25/1993

Effective Date

10/21/2013

Expiration Date

11/30/2015

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016