MARK LONGIN MICHALAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013583

License Status

INACTIVE

Business

First Name

MARK

Middle

LONGIN

Last Name

MICHALAK

Business Name

MARK LONGIN MICHALAK

Original Issue Date

04/23/2009

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

STREAMWOOD

State

Zip

60107

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011