TOM W DOUGLAS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002300

License Status

NOT RENEWED

Business

First Name

TOM W

Last Name

DOUGLAS

Business Name

TOM W DOUGLAS

Original Issue Date

08/07/1990

Effective Date

11/23/2015

Expiration Date

11/30/2017

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018