SUZANNE E STEPHAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012747

License Status

INACTIVE

Business

First Name

SUZANNE

Middle

Last Name

STEPHAN

Business Name

SUZANNE E STEPHAN

Original Issue Date

10/16/2007

Effective Date

09/04/2019

Expiration Date

11/30/2021

City

CODY

State

Zip

82414

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2019