ANGELA MARIE MARTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013612

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

MARTIN

Business Name

ANGELA MARIE MARTIN

Original Issue Date

05/14/2009

Effective Date

11/03/2009

Expiration Date

11/30/2011

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012