KOTHAMANGALATH A ABRAHAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008152

License Status

NOT RENEWED

Business

First Name

KOTHAMANGALATH

Middle

Last Name

ABRAHAM

Business Name

KOTHAMANGALATH A ABRAHAM

Original Issue Date

06/18/1998

Effective Date

11/27/2019

Expiration Date

02/28/2022

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022