REBEKAH ERIN HAZLETT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010859

License Status

NOT RENEWED

Business

First Name

REBEKAH

Middle

ERIN

Last Name

HAZLETT

Business Name

REBEKAH ERIN HAZLETT

Original Issue Date

03/18/2004

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008