KEITH EDWARD POLAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006770

License Status

NOT RENEWED

Business

First Name

KEITH EDWARD

Last Name

POLAN

Business Name

KEITH EDWARD POLAN

Original Issue Date

10/17/1996

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005