LAURA D SMITH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008091

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

SMITH

Business Name

LAURA D SMITH

Original Issue Date

05/04/1998

Effective Date

11/19/1999

Expiration Date

11/30/1999

City

VALPARAISO

State

Zip

46383

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005