SCOTT R PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009238

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

PETERSEN

Business Name

SCOTT R PETERSEN

Original Issue Date

03/21/2003

Effective Date

09/21/2004

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006