THEO A BUCCI Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016617

License Status

NOT RENEWED

Business

First Name

THEO

Middle

Last Name

BUCCI

Business Name

THEO A BUCCI

Original Issue Date

04/14/2014

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018