GAY S RUSSELL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011209

License Status

ACTIVE

Business

First Name

GAY

Middle

Last Name

RUSSELL

Business Name

GAY S RUSSELL

Original Issue Date

11/15/2004

Effective Date

11/11/2025

Expiration Date

11/30/2027

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/11/2025