MARLA S GOLDBERG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003917

License Status

NOT RENEWED

Business

First Name

MARLA S

Last Name

GOLDBERG

Business Name

MARLA S GOLDBERG

Original Issue Date

09/03/1991

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008