ROBERTA D PRICHARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007065

License Status

NOT RENEWED

Business

First Name

ROBERTA D

Last Name

PRICHARD

Business Name

ROBERTA D PRICHARD

Original Issue Date

05/21/1996

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006