BROOKE PHILLIPS THIEDE - Social Worker License in Illinois | # 149011390

BROOKE PHILLIPS THIEDE

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011390

License Status

ACTIVE

Business

N

First Name

BROOKE

Middle

PHILLIPS

Last Name

THIEDE

Business Name

BROOKE PHILLIPS THIEDE

Original Issue Date

04/29/2005

Effective Date

09/12/2025

Expiration Date

11/30/2027

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/12/2025