BROOKE PHILLIPS THIEDE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011390

License Status

ACTIVE

Business

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

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/12/2025