COURTNEY F PETERSEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009228

License Status

INACTIVE

Business

First Name

COURTNEY

Middle

Last Name

PETERSEN

Business Name

COURTNEY F PETERSEN

Original Issue Date

07/11/2000

Effective Date

11/24/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011