ELAINE V BERQUIST Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003260

License Status

NOT RENEWED

Business

First Name

ELAINE V

Last Name

BERQUIST

Business Name

ELAINE V BERQUIST

Original Issue Date

03/29/1991

Effective Date

10/06/2009

Expiration Date

11/30/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012