CASEY A WALLACE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026886

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

WALLACE

Business Name

CASEY A WALLACE

Original Issue Date

03/23/2024

Effective Date

09/18/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/18/2025