SAM S FRIED Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004119

License Status

NOT RENEWED

Business

First Name

SAM S

Last Name

FRIED

Business Name

SAM S FRIED

Original Issue Date

12/17/1991

Expiration Date

11/30/1993

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2005