GREGG R DEWAELE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006143

License Status

NOT RENEWED

Business

First Name

GREGG R

Last Name

DEWAELE

Business Name

GREGG R DEWAELE

Original Issue Date

09/19/1994

Effective Date

09/13/2013

Expiration Date

11/30/2015

City

ROSELLE

State

Zip

60172

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016