FAYETTE LYNN BARBOUR Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010509

License Status

INACTIVE

Business

First Name

FAYETTE

Middle

LYNN

Last Name

BARBOUR

Business Name

FAYETTE LYNN BARBOUR

Original Issue Date

06/02/2003

Effective Date

11/19/2003

Expiration Date

11/30/2005

City

ALBUQUERQUE

State

Zip

87112

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005