PATRICIA M THORN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007587

License Status

INACTIVE

Business

First Name

PATRICIA M

Last Name

THORN

Business Name

PATRICIA M THORN

Original Issue Date

04/30/1997

Effective Date

11/19/2003

Expiration Date

11/30/2005

City

WEST LAFAYETTE

State

Zip

47906

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005