License holder summary

LISA J RUSSOM is a Idaho Board Of Social Work Examiners - Licensed Social Worker licensed to practice in Idaho. The address on file for LISA J RUSSOM is IDAHO FALLS ID 83401. This licensed professional license is current. The license was granted 07/05/2000 and expired on 08/07/2017.

Idaho

Division of Occupational and Professional Licenses

LISA J RUSSOM
Idaho Board Of Social Work Examiners - Licensed Social Worker
License number
LSW - 2573
Date granted
07/05/2000
Date expires
08/07/2017
Class
Idaho Board Of Social Work Examiners - Licensed Social Worker
Status
Current
Address
IDAHO FALLS ID 83401
idaholicensing.com
ID 19706014
LAST UPDATED 2024-03-07 15:24:34 UTC

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