PAULA M BRISTOL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005489

License Status

NOT RENEWED

Business

First Name

PAULA M

Last Name

BRISTOL

Business Name

PAULA M BRISTOL

Original Issue Date

07/06/1993

Effective Date

09/12/2011

Expiration Date

11/30/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014