MARY ANNE CHURCH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008606

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

CHURCH

Business Name

MARY ANNE CHURCH

Original Issue Date

05/07/1999

Effective Date

02/04/2000

Expiration Date

11/30/1999

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006