KRISTA M SQUIRES Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010454

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

SQUIRES

Business Name

KRISTA M SQUIRES

Original Issue Date

04/02/2003

Effective Date

01/26/2022

Expiration Date

11/30/2023

City

MOUNT AUBURN

State

Zip

62547

County

CHRISTIAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024