MARTIN R HEGGESTAD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024021

License Status

INACTIVE

Business

First Name

MARTIN

Middle

Last Name

HEGGESTAD

Business Name

MARTIN R HEGGESTAD

Original Issue Date

11/19/2021

Effective Date

11/19/2021

Expiration Date

11/30/2023

City

ANN ARBOR

State

Zip

48105

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/01/2023