THOMAS J OURTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004979

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

OURTH

Business Name

THOMAS J OURTH

Original Issue Date

08/04/1992

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006