HOLLY M MOSS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006876

License Status

NOT RENEWED

Business

First Name

HOLLY M

Last Name

MOSS

Business Name

HOLLY M MOSS

Original Issue Date

12/31/1996

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006