E JANE WINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005299

License Status

NOT RENEWED

Business

First Name

E JANE

Last Name

WINE

Business Name

E JANE WINE

Original Issue Date

02/25/1993

Effective Date

11/27/2017

Expiration Date

11/30/2019

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020