PHYLLIS B AZRIEL - Social Worker License in Illinois | # 149007756

PHYLLIS B AZRIEL

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007756

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

B

Last Name

AZRIEL

Business Name

PHYLLIS B AZRIEL

Original Issue Date

08/11/1997

Effective Date

11/04/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/05/2012