BRAD WARD LUNDAHL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008259

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

WARD

Last Name

LUNDAHL

Business Name

BRAD WARD LUNDAHL

Original Issue Date

08/18/1998

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SALT LAKE CITY

State

Zip

84121

County

UTAH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006