CRYSTAL L PORT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009895

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

PORT

Business Name

CRYSTAL L PORT

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

11/30/2005

City

PARSONS

State

Zip

67357

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005