CYNTHIA M COLLAZO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005227

License Status

NOT RENEWED

Business

First Name

CYNTHIA M

Last Name

COLLAZO

Business Name

CYNTHIA M COLLAZO

Original Issue Date

01/06/1993

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006