ELIZABETH A COSTELLO-KRUZICH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001151

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

COSTELLO-KRUZICH

Business Name

ELIZABETH A COSTELLO-KRUZICH

Original Issue Date

12/22/1989

Effective Date

09/11/2009

Expiration Date

11/30/2011

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011