KATY LYNNE FORTUNA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014695

License Status

NOT RENEWED

Business

First Name

KATY

Middle

LYNNE

Last Name

FORTUNA

Business Name

KATY LYNNE FORTUNA

Original Issue Date

05/03/2011

Effective Date

11/29/2011

Expiration Date

11/30/2013

City

ROCHESTER HILLS

State

Zip

48307

County

MICHIGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014