TARA ELIZABETH ANDERSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012808

License Status

INACTIVE

Business

First Name

TARA

Middle

ELIZABETH

Last Name

ANDERSON

Business Name

TARA ELIZABETH ANDERSON

Original Issue Date

11/27/2007

Effective Date

10/22/2013

Expiration Date

11/30/2015

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015