TY BRADLEY WAKEFIELD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019991

License Status

ACTIVE

Business

First Name

Middle

BRADLEY

Last Name

WAKEFIELD

Business Name

TY BRADLEY WAKEFIELD

Original Issue Date

12/22/2017

Effective Date

11/10/2025

Expiration Date

11/30/2027

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/10/2025