DOLORES C KUSTOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150002495

License Status

NOT RENEWED

Business

First Name

DOLORES C

Last Name

KUSTOM

Business Name

DOLORES C KUSTOM

Original Issue Date

12/22/1989

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008