JEAN R CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005046

License Status

NOT RENEWED

Business

First Name

JEAN R

Last Name

CLARK

Business Name

JEAN R CLARK

Original Issue Date

06/01/1993

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

RICHVIEW

State

Zip

62877

County

WASHINGTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006