DONNA J BALLARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004555

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

BALLARD

Business Name

DONNA J BALLARD

Original Issue Date

08/01/1992

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012