SARA N GRANT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010658

License Status

INACTIVE

Business

First Name

SARA

Middle

Last Name

GRANT

Business Name

SARA N GRANT

Original Issue Date

10/06/2003

Effective Date

10/17/2011

Expiration Date

11/30/2013

City

PLOVER

State

Zip

54467

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013