NICOLE LACKEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006104

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

LACKEY

Business Name

NICOLE LACKEY

Original Issue Date

08/23/1994

Expiration Date

11/30/1997

City

IRON MOUNTAIN

State

Zip

49801

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/02/2005