MARY J ROMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005924

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

ROMAN

Business Name

MARY J ROMAN

Original Issue Date

04/26/1994

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016