FATINA MARIE SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012930

License Status

NOT RENEWED

Business

First Name

FATINA

Middle

MARIE

Last Name

SMITH

Business Name

FATINA MARIE SMITH

Original Issue Date

03/03/2008

Effective Date

11/09/2009

Expiration Date

11/30/2011

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012