LEE A MALTBY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007573

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

MALTBY

Business Name

LEE A MALTBY

Original Issue Date

04/18/1997

Effective Date

01/23/2008

Expiration Date

11/30/2009

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010