LISA A VAN HOUTEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012715

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

VAN HOUTEN

Business Name

LISA A VAN HOUTEN

Original Issue Date

10/01/2007

Effective Date

10/19/2011

Expiration Date

11/30/2013

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014