KRISTINE J BUCKLEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003791

License Status

NOT RENEWED

Business

First Name

KRISTINE J

Last Name

BUCKLEY

Business Name

KRISTINE J BUCKLEY

Original Issue Date

09/03/1991

Effective Date

09/15/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012