EVAN MARK PETERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010143

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

MARK

Last Name

PETERSON

Business Name

EVAN MARK PETERSON

Original Issue Date

07/11/2002

Effective Date

09/15/2011

Expiration Date

11/30/2013

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014