TRACY L BLITZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010223

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BLITZ

Business Name

TRACY L BLITZ

Original Issue Date

08/28/2002

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012