NATHALIE A STEPHAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004932

License Status

INACTIVE

Business

First Name

NATHALIE A

Last Name

STEPHAN

Business Name

NATHALIE A STEPHAN

Original Issue Date

08/04/1992

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MADISON

State

Zip

47250

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009