NELL B KUSHLAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010777

License Status

INACTIVE

Business

First Name

NELL

Middle

Last Name

KUSHLAK

Business Name

NELL B KUSHLAK

Original Issue Date

01/07/2004

Effective Date

01/07/2004

Expiration Date

11/30/2005

City

CROSS JUNCTION

State

Zip

22625

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005