ANTHONY J PELLETIER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009056

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

Last Name

PELLETIER

Business Name

ANTHONY J PELLETIER

Original Issue Date

03/06/2000

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

ROSELLE

State

Zip

60172

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/15/2021