LEO R CLAY JR Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000620

License Status

INACTIVE

Business

First Name

LEO R

Last Name

CLAY JR

Business Name

LEO R CLAY JR

Original Issue Date

10/07/1989

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007