PATRICIA M EBROM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009953

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

EBROM

Business Name

PATRICIA M EBROM

Original Issue Date

02/02/2002

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016