STACEY L CAMPBELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009189

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

CAMPBELL

Business Name

STACEY L CAMPBELL

Original Issue Date

06/14/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006