CONSTANCE M SHAPIRO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010894

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

SHAPIRO

Business Name

CONSTANCE M SHAPIRO

Original Issue Date

04/14/2004

Effective Date

10/07/2011

Expiration Date

11/30/2013

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014