CARRIE D SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004628

License Status

NOT RENEWED

Business

First Name

CARRIE D

Last Name

SMITH

Business Name

CARRIE D SMITH

Original Issue Date

04/03/1992

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006