ANNETTE M BACON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002759

License Status

INACTIVE

Business

First Name

ANNETTE M

Last Name

BACON

Business Name

ANNETTE M BACON

Original Issue Date

12/14/1990

Effective Date

11/30/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011