MARY J KEANE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004945

License Status

INACTIVE

Business

First Name

MARY J

Last Name

KEANE

Business Name

MARY J KEANE

Original Issue Date

08/04/1992

Effective Date

10/27/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005