ANNA MARIE LONG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013619

License Status

INACTIVE

Business

First Name

ANNA

Middle

MARIE

Last Name

LONG

Business Name

ANNA MARIE LONG

Original Issue Date

05/15/2009

Effective Date

05/15/2009

Expiration Date

11/30/2009

City

PORTLAND

State

Zip

97211

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009