MERLE A PREMACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002497

License Status

NOT RENEWED

Business

First Name

MERLE A

Last Name

PREMACK

Business Name

MERLE A PREMACK

Original Issue Date

09/27/1990

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012