BRIAN A SMITH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006555

License Status

ACTIVE

Business

First Name

BRIAN A

Last Name

SMITH

Business Name

BRIAN A SMITH

Original Issue Date

07/11/1995

Effective Date

11/24/2025

Expiration Date

11/30/2027

City

LAKE GENEVA

State

Zip

53147

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/24/2025