AVIVA FURCHTGOTT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004840

License Status

INACTIVE

Business

First Name

AVIVA

Last Name

FURCHTGOTT

Business Name

AVIVA FURCHTGOTT

Original Issue Date

08/01/1992

Expiration Date

11/30/1997

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005