HAROLD SIEGEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001260

License Status

NOT RENEWED

Business

First Name

HAROLD

Last Name

SIEGEL

Business Name

HAROLD SIEGEL

Original Issue Date

12/28/1989

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006