PAMELA KAY KISTNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009402

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

KAY

Last Name

KISTNER

Business Name

PAMELA KAY KISTNER

Original Issue Date

11/13/2000

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

NEWTON

State

Zip

62448

County

JASPER

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006