MARY M MCGILLICUDDY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008465

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

MCGILLICUDDY

Business Name

MARY M MCGILLICUDDY

Original Issue Date

12/23/1998

Effective Date

11/23/2015

Expiration Date

11/30/2017

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017