GLORIA R POTTER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006472

License Status

INACTIVE

Business

First Name

GLORIA R

Last Name

POTTER

Business Name

GLORIA R POTTER

Original Issue Date

05/22/1995

Effective Date

09/26/2001

Expiration Date

11/30/2001

City

VALPARAISO

State

Zip

46385

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005