TRACY M DIESTEL LEVINE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007054

License Status

ACTIVE

Business

First Name

TRACY M

Middle

DIESTEL

Last Name

LEVINE

Business Name

TRACY M DIESTEL LEVINE

Original Issue Date

05/15/1996

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/25/2025