KEITH EDWARD POLAN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008024

License Status

ACTIVE

Business

First Name

KEITH EDWARD

Last Name

POLAN

Business Name

KEITH EDWARD POLAN

Original Issue Date

04/21/1998

Effective Date

11/22/2025

Expiration Date

11/30/2027

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/22/2025