CAROLYN A RUSSELL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002663

License Status

ACTIVE

Business

First Name

CAROLYN A

Last Name

RUSSELL

Business Name

CAROLYN A RUSSELL

Original Issue Date

12/14/1990

Effective Date

10/29/2025

Expiration Date

11/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/29/2025