MARYANN BASISTA - Social Worker License in Illinois | # 150005420

MARYANN BASISTA

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005420

License Status

NOT RENEWED

Business

N

First Name

MARYANN

Last Name

BASISTA

Business Name

MARYANN BASISTA

Original Issue Date

02/01/1994

Expiration Date

11/30/1995

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005