ANTHONY M MAZZUCA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000864

License Status

INACTIVE

Business

First Name

ANTHONY M

Last Name

MAZZUCA

Business Name

ANTHONY M MAZZUCA

Original Issue Date

12/22/1989

Effective Date

01/15/2022

Expiration Date

11/30/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2023