ANDREA SUE TACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150015410

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

SUE

Last Name

TACK

Business Name

ANDREA SUE TACK

Original Issue Date

12/22/2014

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018