TERRI W SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011012

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

SMITH

Business Name

TERRI W SMITH

Original Issue Date

06/30/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010