FREDERICA FISSELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006151

License Status

NOT RENEWED

Business

First Name

FREDERICA

Last Name

FISSELL

Business Name

FREDERICA FISSELL

Original Issue Date

09/23/1994

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020