C MARK MASSULLO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007721

License Status

ACTIVE

Business

First Name

C MARK

Last Name

MASSULLO

Business Name

C MARK MASSULLO

Original Issue Date

07/22/1997

Effective Date

10/28/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2025