HARVEY J NYSTROM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005208

License Status

NOT RENEWED

Business

First Name

HARVEY J

Last Name

NYSTROM

Business Name

HARVEY J NYSTROM

Original Issue Date

12/22/1992

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006