SALLY R PITELKA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001054

License Status

NOT RENEWED

Business

First Name

SALLY R

Last Name

PITELKA

Business Name

SALLY R PITELKA

Original Issue Date

12/22/1989

Expiration Date

11/30/1995

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2005