DIANE L ANSTADT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001608

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

ANSTADT

Business Name

DIANE L ANSTADT

Original Issue Date

04/28/1990

Effective Date

10/18/2017

Expiration Date

11/30/2019

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020