BEVERLY A BENNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006907

License Status

NOT RENEWED

Business

First Name

BEVERLY A

Last Name

BENNER

Business Name

BEVERLY A BENNER

Original Issue Date

02/27/1996

Effective Date

12/04/2003

Expiration Date

11/30/2005

City

TISKILWA

State

Zip

61368

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006