PHYLLIS D EATON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003518

License Status

NOT RENEWED

Business

First Name

PHYLLIS D

Last Name

EATON

Business Name

PHYLLIS D EATON

Original Issue Date

04/22/1991

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006