TRACEY E P RADICK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012798

License Status

INACTIVE

Business

First Name

TRACEY

Middle

E P

Last Name

RADICK

Business Name

TRACEY E P RADICK

Original Issue Date

11/21/2007

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

NORTH HOLLYWOOD

State

Zip

91606

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019