MELANIE J NORDSTROM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010010

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

NORDSTROM

Business Name

MELANIE J NORDSTROM

Original Issue Date

03/06/2002

Effective Date

11/29/2011

Expiration Date

11/30/2013

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014