HOLLY JUSTINE LASTINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029476

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

JUSTINE

Last Name

LASTINE

Business Name

HOLLY JUSTINE LASTINE

Original Issue Date

06/05/2025

Effective Date

06/05/2025

Expiration Date

11/30/2025

City

DULUTH

State

Zip

55811

Specialty/Qualifier

Master's Degree

Ever Disciplined

LastModifiedDate

03/05/2026