ELEIDA M GOMEZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000080

License Status

INACTIVE

Business

First Name

ELEIDA

Middle

Last Name

GOMEZ

Business Name

ELEIDA M GOMEZ

Original Issue Date

09/30/1989

Effective Date

10/10/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015