MARY KAY SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008942

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

SMITH

Business Name

MARY KAY SMITH

Original Issue Date

01/11/2000

Effective Date

12/15/2003

Expiration Date

11/30/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006