SOPHIA JEAN MAZEPA - Social Worker License in Illinois | # 149003453

SOPHIA JEAN MAZEPA

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003453

License Status

NOT RENEWED

Business

N

First Name

SOPHIA JEAN

Last Name

MAZEPA

Business Name

SOPHIA JEAN MAZEPA

Original Issue Date

04/09/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

10/28/2006