KEITH RUSSELL BAYER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009602

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

RUSSELL

Last Name

BAYER

Business Name

KEITH RUSSELL BAYER

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

11/30/2005

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006