SAMANTHA MERIE FORTENBERRY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150111545

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MERIE

Last Name

FORTENBERRY

Business Name

SAMANTHA MERIE FORTENBERRY

Original Issue Date

09/18/2023

Effective Date

09/18/2023

Expiration Date

11/30/2025

City

TYLERTOWN

State

Zip

39667

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026