LARA J PETERSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029415

License Status

ACTIVE

Business

First Name

LARA

Middle

Last Name

PETERSEN

Business Name

LARA J PETERSEN

Original Issue Date

05/28/2025

Effective Date

11/04/2025

Expiration Date

11/30/2027

City

HENNEPIN

State

Zip

61327

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/04/2025