ASTRID M FULLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004538

License Status

NOT RENEWED

Business

First Name

ASTRID M

Last Name

FULLER

Business Name

ASTRID M FULLER

Original Issue Date

01/22/1992

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008