AMY B ANDERSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005163

License Status

INACTIVE

Business

First Name

AMY B

Last Name

ANDERSON

Business Name

AMY B ANDERSON

Original Issue Date

11/17/1992

Effective Date

10/13/2009

Expiration Date

11/30/2011

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011