BROOKE C DAVIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012109

License Status

INACTIVE

Business

First Name

BROOKE

Middle

Last Name

DAVIS

Business Name

BROOKE C DAVIS

Original Issue Date

08/23/2006

Effective Date

11/30/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011