AMY N ROTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008568

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

ROTH

Business Name

AMY N ROTH

Original Issue Date

08/07/2001

Effective Date

10/28/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006