BENJAMIN J STARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022072

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

STARK

Business Name

BENJAMIN J STARK

Original Issue Date

02/19/2020

Effective Date

02/19/2020

Expiration Date

02/28/2022

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022