DIANE E PETERSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005019

License Status

ACTIVE

Business

First Name

DIANE E

Last Name

PETERSEN

Business Name

DIANE E PETERSEN

Original Issue Date

08/18/1992

Effective Date

12/02/2025

Expiration Date

11/30/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/02/2025