CARRIE RENEE WOLLMERSHAUSER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010549

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

RENEE

Last Name

WOLLMERSHAUSER

Business Name

CARRIE RENEE WOLLMERSHAUSER

Original Issue Date

06/23/2003

Effective Date

11/13/2003

Expiration Date

11/30/2005

City

BROOKLYN

State

Zip

11238

County

NEW YORK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006