KAY FRANCES ALTAVILLA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010601

License Status

INACTIVE

Business

First Name

KAY

Middle

FRANCES

Last Name

ALTAVILLA

Business Name

KAY FRANCES ALTAVILLA

Original Issue Date

08/15/2003

Effective Date

10/29/2003

Expiration Date

11/30/2005

City

CLARKS SUMMIT

State

Zip

18411

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005