STACY R MARIENTHAL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013797

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MARIENTHAL

Business Name

STACY R MARIENTHAL

Original Issue Date

08/31/2009

Effective Date

11/18/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022