BONITA K MARTIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000119

License Status

INACTIVE

Business

First Name

BONITA K

Last Name

MARTIN

Business Name

BONITA K MARTIN

Original Issue Date

09/30/1989

Effective Date

01/22/2004

Expiration Date

11/30/2003

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005