LATAVIA SHANTAYE AGADA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018494

License Status

ACTIVE

Business

First Name

LATAVIA

Middle

SHANTAYE

Last Name

AGADA

Business Name

LATAVIA SHANTAYE AGADA

Original Issue Date

05/13/2016

Effective Date

10/30/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/30/2025