MARY LOU SHADLE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001198

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

SHADLE

Business Name

MARY LOU SHADLE

Original Issue Date

12/22/1989

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006