TRACEY A DORUS-BLACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010277

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

DORUS-BLACK

Business Name

TRACEY A DORUS-BLACK

Original Issue Date

10/12/2005

Effective Date

10/12/2005

Expiration Date

11/30/2007

City

DES PLAINES

State

Zip

60018

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008