ELIZABETH A DOUGLAS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003426

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

DOUGLAS

Business Name

ELIZABETH A DOUGLAS

Original Issue Date

04/05/1991

Effective Date

11/21/2011

Expiration Date

11/30/2013

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013