TERESA J PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004379

License Status

NOT RENEWED

Business

First Name

TERESA J

Last Name

PETERSEN

Business Name

TERESA J PETERSEN

Original Issue Date

12/17/1991

Effective Date

10/20/2003

Expiration Date

11/30/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006