DENNETTE M DEREZOTES Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008062

License Status

NOT RENEWED

Business

First Name

DENNETTE

Middle

Last Name

DEREZOTES

Business Name

DENNETTE M DEREZOTES

Original Issue Date

04/28/1998

Effective Date

06/23/2003

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005