GERALDINE MACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006086

License Status

NOT RENEWED

Business

First Name

GERALDINE

Last Name

MACK

Business Name

GERALDINE MACK

Original Issue Date

08/16/1994

Expiration Date

11/30/1995

City

SHREVEPORT

State

Zip

71119

County

LOUISIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005