SOPHIA JEAN MAZEPA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003453

License Status

NOT RENEWED

Business

First Name

SOPHIA JEAN

Last Name

MAZEPA

Business Name

SOPHIA JEAN MAZEPA

Original Issue Date

04/09/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006