KEITH EDWARD POLAN - Social Worker License in Illinois | # 150006770

KEITH EDWARD POLAN

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006770

License Status

NOT RENEWED

Business

N

First Name

KEITH EDWARD

Last Name

POLAN

Business Name

KEITH EDWARD POLAN

Original Issue Date

10/17/1996

Expiration Date

11/30/1997

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005