PHYLLIS LOUISE SAMPLAWSKI Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006998

License Status

INACTIVE

Business

First Name

PHYLLIS LOUISE

Last Name

SAMPLAWSKI

Business Name

PHYLLIS LOUISE SAMPLAWSKI

Original Issue Date

04/18/1996

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019