NANCY A BASOFIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002642

License Status

NOT RENEWED

Business

First Name

NANCY A

Last Name

BASOFIN

Business Name

NANCY A BASOFIN

Original Issue Date

12/14/1990

Effective Date

11/14/2011

Expiration Date

11/30/2013

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014