NANCY C PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009354

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

PETERSEN

Business Name

NANCY C PETERSEN

Original Issue Date

10/06/2000

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008