IDA R WATANABE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003982

License Status

INACTIVE

Business

First Name

IDA R

Last Name

WATANABE

Business Name

IDA R WATANABE

Original Issue Date

09/04/1991

Effective Date

11/07/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005