JOHN M RANDOLPH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011764

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

RANDOLPH

Business Name

JOHN M RANDOLPH

Original Issue Date

02/01/2006

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012