RACHELLE M BALLMER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006375

License Status

NOT RENEWED

Business

First Name

RACHELLE M

Last Name

BALLMER

Business Name

RACHELLE M BALLMER

Original Issue Date

03/04/1995

Expiration Date

11/30/1997

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005