LISA M CARROLL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013566

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CARROLL

Business Name

LISA M CARROLL

Original Issue Date

04/16/2009

Effective Date

10/13/2015

Expiration Date

11/30/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018