PHYLLIS E RUDOLPH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004689

License Status

NOT RENEWED

Business

First Name

PHYLLIS E

Last Name

RUDOLPH

Business Name

PHYLLIS E RUDOLPH

Original Issue Date

04/03/1992

Effective Date

09/04/2019

Expiration Date

02/28/2022

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022