MARY K DERR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006842

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

DERR

Business Name

MARY K DERR

Original Issue Date

12/19/1995

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006