ANN K THEOPHILOS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001248

License Status

NOT RENEWED

Business

First Name

ANN K

Last Name

THEOPHILOS

Business Name

ANN K THEOPHILOS

Original Issue Date

12/28/1989

Effective Date

10/09/2009

Expiration Date

11/30/2011

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012