POLLY A BASTA - Social Worker License in Illinois | # 150005033

POLLY A BASTA

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005033

License Status

NOT RENEWED

Business

N

First Name

POLLY

Middle

A

Last Name

BASTA

Business Name

POLLY A BASTA

Original Issue Date

05/17/1993

Expiration Date

11/30/1995

State

IL

Ever Disciplined

N

LastModifiedDate

09/03/2005