JOSEPH M MAZZENGA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003994

License Status

INACTIVE

Business

First Name

JOSEPH M

Last Name

MAZZENGA

Business Name

JOSEPH M MAZZENGA

Original Issue Date

09/11/1991

Effective Date

02/20/2004

Expiration Date

11/30/2003

City

BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005