BONNIE R MARTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003054

License Status

NOT RENEWED

Business

First Name

BONNIE R

Last Name

MARTIN

Business Name

BONNIE R MARTIN

Original Issue Date

01/11/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006