MELISSA L BLACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014757

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BLACK

Business Name

MELISSA L BLACK

Original Issue Date

06/14/2011

Effective Date

11/21/2011

Expiration Date

11/30/2013

City

FARMINGTON

State

Zip

63640

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014