MARY BETH FANTI-REBOLLAR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000635

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

FANTI-REBOLLAR

Business Name

MARY BETH FANTI-REBOLLAR

Original Issue Date

10/07/1989

Effective Date

11/15/2017

Expiration Date

11/30/2019

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020