ALISON S BEANBLOSSOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012139

License Status

NOT RENEWED

Business

First Name

ALISON

Middle

Last Name

BEANBLOSSOM

Business Name

ALISON S BEANBLOSSOM

Original Issue Date

09/08/2006

Effective Date

09/14/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012