AGNESE MACTAVISH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026217

License Status

ACTIVE

Business

First Name

AGNESE

Last Name

MACTAVISH

Business Name

AGNESE MACTAVISH

Original Issue Date

11/29/2023

Effective Date

11/18/2025

Expiration Date

11/30/2027

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/18/2025