MARY MARTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004632

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

MARTIN

Business Name

MARY MARTIN

Original Issue Date

04/03/1992

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

LOLA

State

Zip

59847

County

MONTANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006