BRADLEY PHILIP SJOSTROM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008570

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

PHILIP

Last Name

SJOSTROM

Business Name

BRADLEY PHILIP SJOSTROM

Original Issue Date

04/05/1999

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008