RANDY A FISHER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002509

License Status

INACTIVE

Business

First Name

RANDY A

Last Name

FISHER

Business Name

RANDY A FISHER

Original Issue Date

09/27/1990

Effective Date

09/23/2013

Expiration Date

11/30/2015

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015