STACI L MISKIMEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011572

License Status

INACTIVE

Business

First Name

STACI

Middle

Last Name

MISKIMEN

Business Name

STACI L MISKIMEN

Original Issue Date

09/21/2005

Effective Date

09/21/2005

Expiration Date

11/30/2007

City

FARMINGTON

State

Zip

55024

County

MINNESOTA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007