TRISTIN A GOLDBERG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011542

License Status

INACTIVE

Business

First Name

TRISTIN

Middle

Last Name

GOLDBERG

Business Name

TRISTIN A GOLDBERG

Original Issue Date

09/07/2005

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015