RUSSELL HARRIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004596

License Status

NOT RENEWED

Business

First Name

RUSSELL

Last Name

HARRIS

Business Name

RUSSELL HARRIS

Original Issue Date

04/03/1992

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010