ELDA M BENNETT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002257

License Status

NOT RENEWED

Business

First Name

ELDA M

Last Name

BENNETT

Business Name

ELDA M BENNETT

Original Issue Date

08/04/1990

Effective Date

11/18/2003

Expiration Date

11/30/2005

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006