SALLY S NIELSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004481

License Status

NOT RENEWED

Business

First Name

SALLY S

Last Name

NIELSEN

Business Name

SALLY S NIELSEN

Original Issue Date

12/23/1991

Expiration Date

11/30/1995

City

KOKOMO

State

Zip

46902

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005