DARA MAIA BASLEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011483

License Status

NOT RENEWED

Business

First Name

DARA

Middle

MAIA

Last Name

BASLEY

Business Name

DARA MAIA BASLEY

Original Issue Date

05/07/2008

Effective Date

11/23/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012