| Name | LASKY RAE |
|---|---|
| Address | LYNBROOKNY |
| Profession | LICENSED MASTER SOCIAL WORK |
| License No | 026561 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron12/31/81) |
| Additional Qualification | |
| Status | NOT REGISTERED |
| Registered through last day of |