DIANE TAYLOR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006054

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

TAYLOR

Business Name

DIANE TAYLOR

Original Issue Date

08/02/1994

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006