MEMBRA E BETHEA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003816

License Status

INACTIVE

Business

First Name

MEMBRA E

Last Name

BETHEA

Business Name

MEMBRA E BETHEA

Original Issue Date

09/03/1991

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007