BRIDGETTE M MOUTON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020296

License Status

NOT RENEWED

Business

First Name

BRIDGETTE

Middle

Last Name

MOUTON

Business Name

BRIDGETTE M MOUTON

Original Issue Date

05/02/2018

Effective Date

05/02/2018

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020