CAROL A SHAW Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000928

License Status

INACTIVE

Business

First Name

CAROL A

Last Name

SHAW

Business Name

CAROL A SHAW

Original Issue Date

12/19/1989

Expiration Date

11/30/1991

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2005