MADELYN MARIE BURBANK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150013807

License Status

NOT RENEWED

Business

First Name

MADELYN

Middle

MARIE

Last Name

BURBANK

Business Name

MADELYN MARIE BURBANK

Original Issue Date

09/06/2012

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016