JILL N REVIVO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010039

License Status

ACTIVE

Business

First Name

JILL

Middle

Last Name

REVIVO

Business Name

JILL N REVIVO

Original Issue Date

04/01/2002

Effective Date

09/29/2025

Expiration Date

11/30/2027

City

EVANSTON

State

Zip

60203

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/29/2025