PHYLLIS B AZRIEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007756

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

AZRIEL

Business Name

PHYLLIS B AZRIEL

Original Issue Date

08/11/1997

Effective Date

11/04/2009

Expiration Date

11/30/2011

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012