EVELYN T MONTGOMERY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004739

License Status

INACTIVE

Business

First Name

EVELYN T

Last Name

MONTGOMERY

Business Name

EVELYN T MONTGOMERY

Original Issue Date

04/03/1992

Expiration Date

11/30/1995

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/02/2005