LAUREL KATHLEEN MARTINEZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013257

License Status

INACTIVE

Business

First Name

LAUREL

Middle

KATHLEEN

Last Name

MARTINEZ

Business Name

LAUREL KATHLEEN MARTINEZ

Original Issue Date

09/23/2008

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

TROY

State

Zip

48098

County

MICHIGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015