LANA C BOURN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009011

License Status

NOT RENEWED

Business

First Name

LANA

Middle

Last Name

BOURN

Business Name

LANA C BOURN

Original Issue Date

02/14/2000

Effective Date

10/24/2013

Expiration Date

11/30/2015

City

WOODSON

State

Zip

62695

County

MORGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016