CRYSTAL JONIQUE ROACH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017506

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

JONIQUE

Last Name

ROACH

Business Name

CRYSTAL JONIQUE ROACH

Original Issue Date

04/02/2015

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018