PHYLLIS J SHADWICK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003288

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

SHADWICK

Business Name

PHYLLIS J SHADWICK

Original Issue Date

03/29/1991

Effective Date

12/02/2023

Expiration Date

11/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026