KELLY MARIAH DIAZ-LUONG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012657

License Status

INACTIVE

Business

First Name

KELLY

Middle

MARIAH

Last Name

DIAZ-LUONG

Business Name

KELLY MARIAH DIAZ-LUONG

Original Issue Date

09/06/2007

Effective Date

10/15/2013

Expiration Date

11/30/2015

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015