DIANE ATIVIE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004961

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

ATIVIE

Business Name

DIANE ATIVIE

Original Issue Date

08/04/1992

Effective Date

11/05/2023

Expiration Date

11/30/2025

City

SKOKIE

State

Zip

60077

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026