License holder summary

LISA RENEE SOUTHARD is a Idaho Board Of Social Work Examiners - Licensed Clinical Social Worker licensed to practice in Idaho. The address on file for LISA RENEE SOUTHARD is EMMETT ID 83617. This licensed professional license is current. The license was granted 01/06/2011 and expired on 06/08/2017.

Idaho

Division of Occupational and Professional Licenses

LISA RENEE SOUTHARD
Idaho Board Of Social Work Examiners - Licensed Clinical Social Worker
License number
LCSW - 30994
Date granted
01/06/2011
Date expires
06/08/2017
Class
Idaho Board Of Social Work Examiners - Licensed Clinical Social Worker
Status
Current
Address
EMMETT ID 83617
idaholicensing.com
ID 19706479
LAST UPDATED 2024-03-26 16:00:41 UTC

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