FAY O KATLIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002555

License Status

INACTIVE

Business

First Name

FAY O

Last Name

KATLIN

Business Name

FAY O KATLIN

Original Issue Date

11/03/1990

Expiration Date

11/30/1995

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005