TARA N PERUMALLA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010047

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

PERUMALLA

Business Name

TARA N PERUMALLA

Original Issue Date

04/20/2005

Effective Date

11/29/2021

Expiration Date

11/30/2023

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024