ARIEL B ROTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010627

License Status

NOT RENEWED

Business

First Name

ARIEL

Middle

Last Name

ROTH

Business Name

ARIEL B ROTH

Original Issue Date

09/02/2003

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010