HENRY B GOLDBAUM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000177

License Status

NOT RENEWED

Business

First Name

HENRY B

Last Name

GOLDBAUM

Business Name

HENRY B GOLDBAUM

Original Issue Date

10/14/1989

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006