PHYLLIS S CHONG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008373

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

CHONG

Business Name

PHYLLIS S CHONG

Original Issue Date

11/28/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006