MARTHA W MOORE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008347

License Status

INACTIVE

Business

First Name

MARTHA

Middle

Last Name

MOORE

Business Name

MARTHA W MOORE

Original Issue Date

10/05/1998

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

MINOCQUA

State

Zip

54548

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005