STACY B GOODMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004240

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

GOODMAN

Business Name

STACY B GOODMAN

Original Issue Date

12/17/1991

Effective Date

12/03/2001

Expiration Date

11/30/2001

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005