ROGER C HANSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006663

License Status

NOT RENEWED

Business

First Name

ROGER C

Last Name

HANSEN

Business Name

ROGER C HANSEN

Original Issue Date

09/12/1995

Effective Date

11/25/2003

Expiration Date

11/30/2005

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006