SHANA NISSENBAUM BRENNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012379

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

NISSENBAUM

Last Name

BRENNER

Business Name

SHANA NISSENBAUM BRENNER

Original Issue Date

03/13/2007

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010