TAMMY R LIGHT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009191

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

LIGHT

Business Name

TAMMY R LIGHT

Original Issue Date

06/15/2000

Effective Date

11/25/2003

Expiration Date

11/30/2005

City

SALEM

State

Zip

62881

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006