SANDRA D BOUMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003280

License Status

INACTIVE

Business

First Name

SANDRA D

Last Name

BOUMAN

Business Name

SANDRA D BOUMAN

Original Issue Date

03/29/1991

Expiration Date

11/30/1991

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/02/2005