TERESA LEE CLARK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010602

License Status

INACTIVE

Business

First Name

TERESA

Middle

LEE

Last Name

CLARK

Business Name

TERESA LEE CLARK

Original Issue Date

06/22/2006

Effective Date

09/08/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011