THERESA M EYTALIS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005427

License Status

ACTIVE

Business

First Name

THERESA M

Last Name

EYTALIS

Business Name

THERESA M EYTALIS

Original Issue Date

06/01/1993

Effective Date

09/29/2025

Expiration Date

11/30/2027

City

CARBONDALE

State

Zip

62903

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/29/2025