CAMILLA ARIEL WALLACE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013306

License Status

NOT RENEWED

Business

First Name

CAMILLA

Middle

ARIEL

Last Name

WALLACE

Business Name

CAMILLA ARIEL WALLACE

Original Issue Date

10/23/2008

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

SAINT ROBERT

State

Zip

65584

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016