DOUGLAS BENJAMIN SCOTT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012234

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

BENJAMIN

Last Name

SCOTT

Business Name

DOUGLAS BENJAMIN SCOTT

Original Issue Date

11/17/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010