JILL N REVIVO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006759

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

REVIVO

Business Name

JILL N REVIVO

Original Issue Date

10/13/1996

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006