NANCY ANN GOLDBERG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015468

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

ANN

Last Name

GOLDBERG

Business Name

NANCY ANN GOLDBERG

Original Issue Date

09/10/2012

Effective Date

09/10/2012

Expiration Date

11/30/2013

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014