MARY A HACKETT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011533

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

HACKETT

Business Name

MARY A HACKETT

Original Issue Date

08/24/2005

Effective Date

11/21/2013

Expiration Date

11/30/2015

City

CUBA

State

Zip

61427

County

FULTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016