SHELLEY MATTA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008804

License Status

INACTIVE

Business

First Name

SHELLEY

Last Name

MATTA

Business Name

SHELLEY MATTA

Original Issue Date

09/10/1999

Effective Date

10/11/2001

Expiration Date

11/30/2001

City

OTHELLO

State

Zip

99344

County

WASHINGTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005