C MARK MASSULLO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006169

License Status

NOT RENEWED

Business

First Name

C MARK

Last Name

MASSULLO

Business Name

C MARK MASSULLO

Original Issue Date

08/26/1995

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005