MARY L LARSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006830

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LARSEN

Business Name

MARY L LARSEN

Original Issue Date

11/25/1996

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006