ILANA KIM BRICKLEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011377

License Status

NOT RENEWED

Business

First Name

ILANA

Middle

KIM

Last Name

BRICKLEY

Business Name

ILANA KIM BRICKLEY

Original Issue Date

04/20/2005

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MELROSE

State

Zip

02176

County

MASSACHUSETTS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008