SAMUEL ISRAEL VILLASENOR Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023463

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

ISRAEL

Last Name

VILLASENOR

Business Name

SAMUEL ISRAEL VILLASENOR

Original Issue Date

06/30/2021

Effective Date

11/30/2025

Expiration Date

11/30/2027

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2025