THERESA M BROST Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006556

License Status

INACTIVE

Business

First Name

THERESA M

Last Name

BROST

Business Name

THERESA M BROST

Original Issue Date

07/11/1995

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

NEW LENNOX

State

Zip

60451

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009