GINA LEIGH MANCUSO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008694

License Status

NOT RENEWED

Business

First Name

GINA

Middle

LEIGH

Last Name

MANCUSO

Business Name

GINA LEIGH MANCUSO

Original Issue Date

06/22/1999

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006