JAYA D PATEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000005

License Status

NOT RENEWED

Business

First Name

JAYA D

Last Name

PATEL

Business Name

JAYA D PATEL

Original Issue Date

12/17/1991

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018