ELIZABETH A CLARK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005936

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

CLARK

Business Name

ELIZABETH A CLARK

Original Issue Date

04/26/1994

Effective Date

12/02/2003

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005