JAMES P MAZEPA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003455

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

MAZEPA

Business Name

JAMES P 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

DOCTORATE

Ever Disciplined

LastModifiedDate

10/28/2006