MARY E LEWIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000699

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

LEWIS

Business Name

MARY E LEWIS

Original Issue Date

10/07/1989

Effective Date

10/11/2017

Expiration Date

11/30/2019

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020