SHARON L LARSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013107

License Status

INACTIVE

Business

First Name

SHARON

Middle

Last Name

LARSON

Business Name

SHARON L LARSON

Original Issue Date

06/13/2008

Effective Date

10/17/2011

Expiration Date

11/30/2013

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013