KAY JOHANSEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003606

License Status

INACTIVE

Business

First Name

KAY

Last Name

JOHANSEN

Business Name

KAY JOHANSEN

Original Issue Date

06/12/1991

Effective Date

10/09/2001

Expiration Date

11/30/2001

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005