RAVEN ALEXIS WALLER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020437

License Status

ACTIVE

Business

First Name

RAVEN

Middle

ALEXIS

Last Name

WALLER

Business Name

RAVEN ALEXIS WALLER

Original Issue Date

06/28/2018

Effective Date

10/02/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/02/2025