STACIA I PENROD - Social Worker License in Illinois | # 149025318

STACIA I PENROD

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025318

License Status

ACTIVE

Business

N

First Name

STACIA

Middle

I

Last Name

PENROD

Business Name

STACIA I PENROD

Original Issue Date

02/15/2023

Effective Date

10/03/2025

Expiration Date

11/30/2027

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

10/03/2025