AMY E LARSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010167

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

LARSON

Business Name

AMY E LARSON

Original Issue Date

08/05/2005

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008