GERTRUDE I MACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000532

License Status

NOT RENEWED

Business

First Name

GERTRUDE I

Last Name

MACK

Business Name

GERTRUDE I MACK

Original Issue Date

10/07/1989

Effective Date

10/14/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012