LORI WAELTI BOILLAT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009150

License Status

NOT RENEWED

Business

First Name

LORI

Middle

WAELTI

Last Name

BOILLAT

Business Name

LORI WAELTI BOILLAT

Original Issue Date

11/20/2002

Effective Date

11/21/2003

Expiration Date

11/30/2005

City

LAGRANGE PARK

State

Zip

60526

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006