MALITTA V ENGSTROM (Credential# 783355) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 29, 2012. The license status is INACTIVE.
MALITTA V ENGSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005198. The credential type is licensed clinical social worker. The effective date is March 1, 2011. The expiration date is February 29, 2012. The business address is 4721-f South Woodlawn Avenue, Chicago, IL 60615. The current status is inactive.
Licensee Name | MALITTA V ENGSTROM |
Credential ID | 783355 |
Credential Number | 58.005198 |
Credential Type | Licensed Clinical Social Worker |
Business Address |
4721-f South Woodlawn Avenue Chicago IL 60615 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-07-22 |
Effective Date | 2011-03-01 |
Expiration Date | 2012-02-29 |
Refresh Date | 2012-06-06 |
Street Address | 4721-F South Woodlawn Avenue |
City | Chicago |
State | IL |
Zip Code | 60615 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Yp Math Foundation | 4811 S. Kenwood Ave, Chicago, IL 60615 | Public Charity | 2020-06-25 ~ 2021-11-30 |
Todd Derek Jordan | 1115 E. Hyde Park Blvd., Chicago, IL 60615 | Certified Public Accountant Certificate | ~ |
Tracy E Erwin-grabner | 5432 S Kimbark Ave.#3r, Chicago, IL 60615 | Professional Counselor | ~ |
Robert C Deegan | 5020 South Lake, Chicago, IL 60615 | Registered Nurse | 2003-10-09 ~ 2004-11-30 |
Shihfan Kuan | 1448 East 55th St, Chicago, IL 60615 | Physician/surgeon | 1994-07-06 ~ 1995-07-31 |
Nancy A Malone | 5020 So Lake Shore, Chicago, IL 60615 | Registered Nurse | 1995-05-16 ~ 1996-02-29 |
James J Gill | 5401 S. Cornell Ave., Chicago, IL 60615 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
Claudine R Rosiecki · Fiorilli | 5050 S Lake Shore Drive, Chicago, IL 60615 | Registered Nurse | 2000-04-25 ~ 2001-04-30 |
Hedwig E Staskus | 5429 South Kenwood Ave., Chicago, IL 60615 | Registered Nurse | 2006-03-31 ~ 2007-01-31 |
Morris N Bartot | 4940 South East End Ave #9f, Chicago, IL 60615 | Pharmacist | 1997-02-01 ~ 1998-01-31 |
Find all Licenses in zip 60615 |
City | Chicago |
Zip Code | 60615 |
License Type | Licensed Clinical Social Worker |
License Type + County | Licensed Clinical Social Worker + Chicago |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
Michelle A Gramling | Psc 50 Box 242, Apo, AE 09494-0003 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
Ann M Bates | P.o. Box 696, Ivoryton, CT 06442 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Ben Locasto | P.o. Box 11, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Yun Li | 24 Miles Ave, Providence, RI 02906-4215 | Licensed Clinical Social Worker | 2018-08-01 ~ 2019-07-31 |
Amy T Ortiz-lopez | CT | Licensed Clinical Social Worker | ~ |
Ann S Matthews | Po Box 1362, Millbrook, NY 12545 | Licensed Clinical Social Worker | ~ |
Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).