LAURITA M PROVANCAL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150002095

License Status

INACTIVE

Business

First Name

LAURITA M

Last Name

PROVANCAL

Business Name

LAURITA M PROVANCAL

Original Issue Date

12/05/1989

Expiration Date

11/30/1991

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/03/2005