DEBORAH DISSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005169

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

DISSEN

Business Name

DEBORAH DISSEN

Original Issue Date

11/23/1992

Expiration Date

11/30/1999

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006