ASHLEY E FALLOS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015671

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

FALLOS

Business Name

ASHLEY E FALLOS

Original Issue Date

01/11/2013

Effective Date

12/03/2013

Expiration Date

11/30/2015

City

INDIANAPOLIS

State

Zip

46205

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016