LISA M LIZAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007195

License Status

INACTIVE

Business

First Name

LISA M

Last Name

LIZAK

Business Name

LISA M LIZAK

Original Issue Date

08/08/1996

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MADISON

State

Zip

53714

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007