JAMES T PETERSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002959

License Status

INACTIVE

Business

First Name

JAMES T

Last Name

PETERSON

Business Name

JAMES T PETERSON

Original Issue Date

12/21/1990

Effective Date

11/03/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005