RANDY A MADONNA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002190

License Status

NOT RENEWED

Business

First Name

RANDY A

Last Name

MADONNA

Business Name

RANDY A MADONNA

Original Issue Date

07/31/1990

Effective Date

09/18/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016