CAROL JEAN MARTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010725

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

JEAN

Last Name

MARTIN

Business Name

CAROL JEAN MARTIN

Original Issue Date

11/19/2003

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012