ANDREA SUZANNE PARKER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011532

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

SUZANNE

Last Name

PARKER

Business Name

ANDREA SUZANNE PARKER

Original Issue Date

08/24/2005

Effective Date

09/11/2013

Expiration Date

11/30/2015

City

AVON

State

Zip

46123

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016