DONALD A KRZYZAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005161

License Status

INACTIVE

Business

First Name

DONALD A

Last Name

KRZYZAK

Business Name

DONALD A KRZYZAK

Original Issue Date

11/17/1992

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007