DAVID D DAVIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000769

License Status

NOT RENEWED

Business

First Name

DAVID D

Last Name

DAVIS

Business Name

DAVID D DAVIS

Original Issue Date

10/07/1989

Effective Date

11/18/2009

Expiration Date

11/30/2011

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012