TILDA ALIDALEE WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026624

License Status

ACTIVE

Business

First Name

TILDA

Middle

ALIDALEE

Last Name

WAGNER

Business Name

TILDA ALIDALEE WAGNER

Original Issue Date

02/20/2024

Effective Date

11/19/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/19/2025