ANNA B FALLON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001464

License Status

NOT RENEWED

Business

First Name

ANNA B

Last Name

FALLON

Business Name

ANNA B FALLON

Original Issue Date

01/09/1990

Effective Date

09/14/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012