LACEY NICOLE WALLACE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150102020

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

NICOLE

Last Name

WALLACE

Business Name

LACEY NICOLE WALLACE

Original Issue Date

09/22/2016

Effective Date

09/22/2016

Expiration Date

11/30/2017

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018