GARY P WAKEFIELD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002319

License Status

NOT RENEWED

Business

First Name

GARY P

Last Name

WAKEFIELD

Business Name

GARY P WAKEFIELD

Original Issue Date

08/07/1990

Effective Date

11/16/2021

Expiration Date

11/30/2023

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024