THOMAS A BASS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003235

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

BASS

Business Name

THOMAS A BASS

Original Issue Date

03/19/1991

Effective Date

11/16/2015

Expiration Date

11/30/2017

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018