MARYANN BASISTA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005420

License Status

NOT RENEWED

Business

First Name

MARYANN

Last Name

BASISTA

Business Name

MARYANN BASISTA

Original Issue Date

02/01/1994

Expiration Date

11/30/1995

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005