MARILYN MEDINA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009640

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

MEDINA

Business Name

MARILYN MEDINA

Original Issue Date

06/19/2001

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

SCHAUMBURG

State

Zip

60193

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016