BUDDY S PORTUGAL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000868

License Status

NOT RENEWED

Business

First Name

BUDDY S

Last Name

PORTUGAL

Business Name

BUDDY S PORTUGAL

Original Issue Date

12/22/1989

Effective Date

10/08/2009

Expiration Date

11/30/2011

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012