BETH A GRODZIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008255

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

GRODZIN

Business Name

BETH A GRODZIN

Original Issue Date

08/18/1998

Effective Date

12/23/1999

Expiration Date

11/30/1999

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005