DIANA P FOX Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006449

License Status

NOT RENEWED

Business

First Name

DIANA P

Last Name

FOX

Business Name

DIANA P FOX

Original Issue Date

05/11/1995

Effective Date

09/28/2011

Expiration Date

11/30/2013

City

ANTIOCH

State

Zip

60002

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014