PHYLLIS FERGUSON COLLUM Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015907

License Status

ACTIVE

Business

First Name

PHYLLIS

Last Name

FERGUSON COLLUM

Business Name

PHYLLIS FERGUSON COLLUM

Original Issue Date

04/30/2013

Effective Date

11/03/2025

Expiration Date

11/30/2027

City

DOLTON

State

Zip

60419

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/03/2025