AUTUMN JOY WALL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017038

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

JOY

Last Name

WALL

Business Name

AUTUMN JOY WALL

Original Issue Date

10/08/2014

Effective Date

12/31/2021

Expiration Date

11/30/2023

City

LAFAYETTE

State

Zip

47904

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024