KATELEN RAINE FORTUNATI Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016922

License Status

NOT RENEWED

Business

First Name

KATELEN

Middle

RAINE

Last Name

FORTUNATI

Business Name

KATELEN RAINE FORTUNATI

Original Issue Date

08/21/2014

Effective Date

10/18/2017

Expiration Date

11/30/2019

City

SAINT LOUIS

State

Zip

63139

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020