KEITH B FRAZIER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005061

License Status

INACTIVE

Business

First Name

KEITH B

Last Name

FRAZIER

Business Name

KEITH B FRAZIER

Original Issue Date

09/04/1992

Expiration Date

11/30/1995

City

ASHLAND

State

Zip

41102

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005