JOHN K SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011019

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

SMITH

Business Name

JOHN K SMITH

Original Issue Date

07/13/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

FLUSHING

State

Zip

11367

County

NEW YORK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010