VIRGINIA LAWTON BOLLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010732

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

LAWTON

Last Name

BOLLER

Business Name

VIRGINIA LAWTON BOLLER

Original Issue Date

11/26/2003

Effective Date

03/01/2022

Expiration Date

11/30/2023

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024