JEANNE M MAZZA MSW Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002421

License Status

INACTIVE

Business

First Name

JEANNE M

Last Name

MAZZA MSW

Business Name

JEANNE M MAZZA MSW

Original Issue Date

08/22/1990

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007