LEAH E ROTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007350

License Status

NOT RENEWED

Business

First Name

LEAH E

Last Name

ROTH

Business Name

LEAH E ROTH

Original Issue Date

11/15/1996

Expiration Date

11/30/1999

City

JOHNSON CITY

State

Zip

37604

County

TENNESSEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006