CAROLYN H TILLACK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001630

License Status

INACTIVE

Business

First Name

CAROLYN H

Last Name

TILLACK

Business Name

CAROLYN H TILLACK

Original Issue Date

04/28/1990

Effective Date

11/06/2015

Expiration Date

11/30/2017

City

CARY

State

Zip

60013

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017