SUSAN M PAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000840

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

PAN

Business Name

SUSAN M PAN

Original Issue Date

12/22/1989

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

OAK HILL

State

Zip

20171

County

VIRGINIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005