ELEANOR F FORT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007299

License Status

NOT RENEWED

Business

First Name

ELEANOR F

Last Name

FORT

Business Name

ELEANOR F FORT

Original Issue Date

10/17/1996

Effective Date

11/13/2013

Expiration Date

11/30/2015

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016