ANNA MARY A WALLACE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001182

License Status

INACTIVE

Business

First Name

ANNA MARY A

Last Name

WALLACE

Business Name

ANNA MARY A WALLACE

Original Issue Date

12/22/1989

Effective Date

09/28/2001

Expiration Date

11/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005