ANN C RUSSELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008848

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

RUSSELL

Business Name

ANN C RUSSELL

Original Issue Date

10/14/1999

Effective Date

10/28/2019

Expiration Date

02/28/2022

City

VANCLEAVE

State

Zip

39565

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022