DIANE J LATTANZIO Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004360

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

LATTANZIO

Business Name

DIANE J LATTANZIO

Original Issue Date

12/17/1991

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009