PHYLLIS LOUISE SAMPLAWSKI - Social Worker License in Illinois | # 149006998

PHYLLIS LOUISE SAMPLAWSKI

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006998

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/04/2019