MARJORIE A COUGHLIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004415

License Status

NOT RENEWED

Business

First Name

MARJORIE A

Last Name

COUGHLIN

Business Name

MARJORIE A COUGHLIN

Original Issue Date

12/17/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006