NICOLE E BUSCAGLIA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008806

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BUSCAGLIA

Business Name

NICOLE E BUSCAGLIA

Original Issue Date

09/10/1999

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006