SUSAN PALMER DOLPHIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008448

License Status

INACTIVE

Business

First Name

SUSAN

Middle

PALMER

Last Name

DOLPHIN

Business Name

SUSAN PALMER DOLPHIN

Original Issue Date

12/18/1998

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BELMONT

State

Zip

28012

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007