MARILYN J RUSSO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001033

License Status

NOT RENEWED

Business

First Name

MARILYN J

Last Name

RUSSO

Business Name

MARILYN J RUSSO

Original Issue Date

12/22/1989

Effective Date

10/22/2013

Expiration Date

11/30/2015

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016