PENELOPE J THOMA PONCIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004210

License Status

NOT RENEWED

Business

First Name

PENELOPE J

Last Name

THOMA PONCIN

Business Name

PENELOPE J THOMA PONCIN

Original Issue Date

12/17/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SCHAUMBURG

State

Zip

60193

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006