SANDRA MARILYN LEITNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006285

License Status

NOT RENEWED

Business

First Name

SANDRA MARILYN

Last Name

LEITNER

Business Name

SANDRA MARILYN LEITNER

Original Issue Date

12/20/1994

Expiration Date

11/30/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006