PREM K MEHTA-KOHLI Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004094

License Status

INACTIVE

Business

First Name

PREM

Middle

Last Name

MEHTA-KOHLI

Business Name

PREM K MEHTA-KOHLI

Original Issue Date

11/13/1991

Effective Date

12/01/2017

Expiration Date

11/30/2019

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019