LAURA CHRISTINE SULLIVAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009610

License Status

INACTIVE

Business

First Name

LAURA

Middle

CHRISTINE

Last Name

SULLIVAN

Business Name

LAURA CHRISTINE SULLIVAN

Original Issue Date

05/22/2001

Effective Date

11/17/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005