VIVIAN M BURAK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003374

License Status

NOT RENEWED

Business

First Name

VIVIAN M

Last Name

BURAK

Business Name

VIVIAN M BURAK

Original Issue Date

03/29/1991

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020