MALITTA V ENGSTROM
Licensed Clinical Social Worker


Address: 4721-f South Woodlawn Avenue, Chicago, IL 60615

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 4721-F South Woodlawn Avenue
City Chicago
State IL
Zip Code 60615

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Robert C Deegan 5020 South Lake, Chicago, IL 60615 Registered Nurse 2003-10-09 ~ 2004-11-30
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City Chicago
Zip Code 60615
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + Chicago

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Dataset Information

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).

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