COLLEEN MARIE CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150014408

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARIE

Last Name

CLARK

Business Name

COLLEEN MARIE CLARK

Original Issue Date

09/11/2013

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020