PATRICIA VASTA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005651

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

VASTA

Business Name

PATRICIA VASTA

Original Issue Date

10/18/1993

Effective Date

10/07/2003

Expiration Date

11/30/2005

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006