AMANDA L MOSS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022188

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MOSS

Business Name

AMANDA L MOSS

Original Issue Date

05/05/2020

Effective Date

05/05/2020

Expiration Date

02/28/2022

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022