JEROME E PAWELAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002382

License Status

INACTIVE

Business

First Name

JEROME E

Last Name

PAWELAK

Business Name

JEROME E PAWELAK

Original Issue Date

08/22/1990

Effective Date

10/30/2003

Expiration Date

11/30/2005

City

GURNE

State

Zip

60031

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005