AMY ROSE COPPA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016199

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ROSE

Last Name

COPPA

Business Name

AMY ROSE COPPA

Original Issue Date

09/24/2013

Effective Date

09/16/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022