TAYLOR A RUSSELL - Social Worker License in Illinois | # 149017706

TAYLOR A RUSSELL

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017706

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

A

Last Name

RUSSELL

Business Name

TAYLOR A RUSSELL

Original Issue Date

06/18/2015

Effective Date

09/12/2017

Expiration Date

11/30/2019

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/23/2020