CULLEN M SPRAGUE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012229

License Status

NOT RENEWED

Business

First Name

CULLEN

Middle

Last Name

SPRAGUE

Business Name

CULLEN M SPRAGUE

Original Issue Date

11/16/2006

Effective Date

11/12/2015

Expiration Date

11/30/2017

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018