STEPHANIE NICOLE LOPEZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009324

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

LOPEZ

Business Name

STEPHANIE NICOLE LOPEZ

Original Issue Date

10/05/2000

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ATHENS

State

Zip

45701

County

OHIO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007