NATHALIE C THEODORE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015370

License Status

ACTIVE

Business

First Name

NATHALIE

Middle

Last Name

THEODORE

Business Name

NATHALIE C THEODORE

Original Issue Date

07/11/2012

Effective Date

09/22/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/22/2025