COLLEEN M KELLY-TEIKEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020467

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

KELLY-TEIKEN

Business Name

COLLEEN M KELLY-TEIKEN

Original Issue Date

07/17/2018

Effective Date

07/17/2018

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020