MARY JANE BEAZLEY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008104

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

BEAZLEY

Business Name

MARY JANE BEAZLEY

Original Issue Date

05/18/1998

Effective Date

11/05/2003

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005