AMY B BAHN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011059

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BAHN

Business Name

AMY B BAHN

Original Issue Date

08/04/2004

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008