BIANCA CONKLIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006638

License Status

INACTIVE

Business

First Name

BIANCA

Last Name

CONKLIN

Business Name

BIANCA CONKLIN

Original Issue Date

08/26/1995

Effective Date

10/09/2001

Expiration Date

11/30/2001

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005