PATRICIA M LONG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005405

License Status

INACTIVE

Business

First Name

PATRICIA M

Last Name

LONG

Business Name

PATRICIA M LONG

Original Issue Date

05/10/1993

Effective Date

10/20/2009

Expiration Date

11/30/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011