KRYSTAL MARIE FOWLKES Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026918

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

MARIE

Last Name

FOWLKES

Business Name

KRYSTAL MARIE FOWLKES

Original Issue Date

03/27/2024

Effective Date

11/17/2025

Expiration Date

11/30/2027

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/17/2025