SANDRA KAYE BURKHART Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012735

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

KAYE

Last Name

BURKHART

Business Name

SANDRA KAYE BURKHART

Original Issue Date

10/04/2007

Effective Date

10/27/2011

Expiration Date

11/30/2013

City

KINGMAN

State

Zip

47952

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014