MARY FULLER LEE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007713

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

FULLER LEE

Business Name

MARY FULLER LEE

Original Issue Date

07/15/1997

Effective Date

03/10/2004

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006