LISA M NICKLAS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010262

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

NICKLAS

Business Name

LISA M NICKLAS

Original Issue Date

10/05/2005

Effective Date

11/12/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

01/05/2012