AMANDA M RATESIC Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010931

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

RATESIC

Business Name

AMANDA M RATESIC

Original Issue Date

06/02/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

IRWIN

State

Zip

15642

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009