LAUREL JANE GUERTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008627

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

JANE

Last Name

GUERTIN

Business Name

LAUREL JANE GUERTIN

Original Issue Date

05/12/1999

Effective Date

11/25/2003

Expiration Date

11/30/2005

City

ROCHESTER

State

Zip

55902

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006