AMANDA N GRANT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011008

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GRANT

Business Name

AMANDA N GRANT

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006