WANDA S TRACY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000625

License Status

INACTIVE

Business

First Name

WANDA S

Last Name

TRACY

Business Name

WANDA S TRACY

Original Issue Date

10/07/1989

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011