MARY L LARSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010473

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LARSEN

Business Name

MARY L LARSEN

Original Issue Date

04/17/2003

Effective Date

11/12/2019

Expiration Date

02/28/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022