STACEY A GOTTLIEB Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006585

License Status

INACTIVE

Business

First Name

STACEY A

Last Name

GOTTLIEB

Business Name

STACEY A GOTTLIEB

Original Issue Date

06/19/1996

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005