IDA R WATANABE - Social Worker License in Illinois | # 149003982

IDA R WATANABE

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003982

License Status

INACTIVE

Business

N

First Name

IDA R

Last Name

WATANABE

Business Name

IDA R WATANABE

Original Issue Date

09/04/1991

Effective Date

11/07/2003

Expiration Date

11/30/2005

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005