THEODORE KERMIT SCOTT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010327

License Status

INACTIVE

Business

First Name

THEODORE

Middle

KERMIT

Last Name

SCOTT

Business Name

THEODORE KERMIT SCOTT

Original Issue Date

11/19/2002

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005