HEATHER MARIE BOURGEOIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013496

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

BOURGEOIS

Business Name

HEATHER MARIE BOURGEOIS

Original Issue Date

03/12/2009

Effective Date

11/01/2019

Expiration Date

02/28/2022

City

LANSING

State

Zip

48917

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022