LISA ANN BASS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009462

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

BASS

Business Name

LISA ANN BASS

Original Issue Date

01/08/2001

Effective Date

11/27/2021

Expiration Date

11/30/2023

City

WOODHULL

State

Zip

61490

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024