KRISTIN M LOPEZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001567

License Status

NOT RENEWED

Business

First Name

KRISTIN M

Last Name

LOPEZ

Business Name

KRISTIN M LOPEZ

Original Issue Date

03/31/1990

Effective Date

10/27/2011

Expiration Date

11/30/2013

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014