EMILY CLARKSON BROOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012323

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

CLARKSON

Last Name

BROOM

Business Name

EMILY CLARKSON BROOM

Original Issue Date

01/30/2007

Effective Date

10/07/2009

Expiration Date

11/30/2011

City

MCMINNVILLE

State

Zip

97128

County

OREGON

Ever Disciplined

LastModifiedDate

01/05/2012