BRADLEY R DOUGLAS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000829

License Status

INACTIVE

Business

First Name

BRADLEY R

Last Name

DOUGLAS

Business Name

BRADLEY R DOUGLAS

Original Issue Date

11/18/1989

Expiration Date

11/30/1993

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/02/2005