DEREK J HARKEMA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001036

License Status

NOT RENEWED

Business

First Name

DEREK J

Last Name

HARKEMA

Business Name

DEREK J HARKEMA

Original Issue Date

12/22/1989

Effective Date

11/09/2004

Expiration Date

11/30/2005

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/10/2008