ANDREA SUE TACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018819

License Status

ACTIVE

Business

First Name

ANDREA

Middle

SUE

Last Name

TACK

Business Name

ANDREA SUE TACK

Original Issue Date

09/13/2016

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/25/2025