TRACI L GANAWAY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009091

License Status

INACTIVE

Business

First Name

TRACI

Middle

Last Name

GANAWAY

Business Name

TRACI L GANAWAY

Original Issue Date

03/27/2000

Effective Date

12/18/2003

Expiration Date

11/30/2005

City

COLUMBIA

State

Zip

21044

County

MARYLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005