LISA ANN BASS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008079

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

BASS

Business Name

LISA ANN BASS

Original Issue Date

02/22/2000

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006