ANNE MARIE FORMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150001635

License Status

INACTIVE

Business

First Name

ANNE MARIE

Last Name

FORMAN

Business Name

ANNE MARIE FORMAN

Original Issue Date

10/07/1989

Expiration Date

11/30/1993

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/03/2005