ILYSA C GROSSMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007028

License Status

NOT RENEWED

Business

First Name

ILYSA C

Last Name

GROSSMAN

Business Name

ILYSA C GROSSMAN

Original Issue Date

05/08/1996

Effective Date

11/23/2011

Expiration Date

11/30/2013

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

08/02/2016