RITA R RACIAK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006964

License Status

INACTIVE

Business

First Name

RITA R

Last Name

RACIAK

Business Name

RITA R RACIAK

Original Issue Date

04/03/1996

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015