KELLY L FATTEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022318

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FATTEN

Business Name

KELLY L FATTEN

Original Issue Date

06/23/2020

Effective Date

11/03/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/03/2025