DIANE M NICKLESS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011372

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

NICKLESS

Business Name

DIANE M NICKLESS

Original Issue Date

01/23/2008

Effective Date

01/23/2008

Expiration Date

11/30/2009

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010