TERRI L CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150013368

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

CLARK

Business Name

TERRI L CLARK

Original Issue Date

11/01/2011

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016