THERESA D CROTTY MSW Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006398

License Status

NOT RENEWED

Business

First Name

THERESA D

Last Name

CROTTY MSW

Business Name

THERESA D CROTTY MSW

Original Issue Date

03/29/1995

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BUCHANAN

State

Zip

38222

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008