DAVID E CARLSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000134

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

CARLSON

Business Name

DAVID E CARLSON

Original Issue Date

09/30/1989

Effective Date

01/06/2004

Expiration Date

11/30/2005

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006