PHYLLIS LADD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003774

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

LADD

Business Name

PHYLLIS LADD

Original Issue Date

09/03/1991

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010