CLARK J HAZEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150104638

License Status

NOT RENEWED

Business

First Name

CLARK

Middle

Last Name

HAZEL

Business Name

CLARK J HAZEL

Original Issue Date

09/23/2020

Effective Date

11/16/2021

Expiration Date

11/30/2023

City

PORTLAND

State

Zip

97206

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024