TAYLOR A RUSSELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017706

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

RUSSELL

Business Name

TAYLOR A RUSSELL

Original Issue Date

06/18/2015

Effective Date

09/12/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020