JACK C WALL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004468

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

WALL

Business Name

JACK C WALL

Original Issue Date

12/17/1991

Effective Date

10/27/2011

Expiration Date

11/30/2013

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

02/19/2014