SARA M SAKOL SEGALL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009085

License Status

INACTIVE

Business

First Name

SARA

Middle

M SAKOL

Last Name

SEGALL

Business Name

SARA M SAKOL SEGALL

Original Issue Date

03/22/2000

Effective Date

12/02/2003

Expiration Date

11/30/2003

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005