JOAN B LEAVELLE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006865

License Status

NOT RENEWED

Business

First Name

JOAN B

Last Name

LEAVELLE

Business Name

JOAN B LEAVELLE

Original Issue Date

01/18/1996

Effective Date

12/22/2003

Expiration Date

11/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006