KRISTINE MARIE FASTINGER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010078

License Status

INACTIVE

Business

First Name

KRISTINE

Middle

MARIE

Last Name

FASTINGER

Business Name

KRISTINE MARIE FASTINGER

Original Issue Date

05/23/2005

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BROOKVILLE

State

Zip

45309

County

MONTGOMERY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007