JENNIFER B SAMPSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014448

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

SAMPSON

Business Name

JENNIFER B SAMPSON

Original Issue Date

11/17/2010

Effective Date

11/17/2010

Expiration Date

11/30/2011

City

NISKAYUNA

State

Zip

12309

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011