RACHEL JOHANNA REVIVO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009041

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

JOHANNA

Last Name

REVIVO

Business Name

RACHEL JOHANNA REVIVO

Original Issue Date

09/10/2002

Effective Date

11/14/2003

Expiration Date

11/30/2005

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006