SAMUEL D BUZZARD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003408

License Status

INACTIVE

Business

First Name

SAMUEL D

Last Name

BUZZARD

Business Name

SAMUEL D BUZZARD

Original Issue Date

04/28/1990

Effective Date

11/14/2003

Expiration Date

11/30/2003

City

STEWARDSON

State

Zip

62463

County

SHELBY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005