EILEEN A KUSHIDA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000356

License Status

INACTIVE

Business

First Name

EILEEN A

Last Name

KUSHIDA

Business Name

EILEEN A KUSHIDA

Original Issue Date

10/07/1989

Effective Date

01/07/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005