MICHELLE MARTHA BAUTISTA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011952

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

MARTHA

Last Name

BAUTISTA

Business Name

MICHELLE MARTHA BAUTISTA

Original Issue Date

05/25/2006

Effective Date

10/14/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2025