CHRISTOPHER M BALLAK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009143

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

BALLAK

Business Name

CHRISTOPHER M BALLAK

Original Issue Date

05/05/2000

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010