DAVIDA DAWANA FULLER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027199

License Status

ACTIVE

Business

First Name

DAVIDA

Middle

DAWANA

Last Name

FULLER

Business Name

DAVIDA DAWANA FULLER

Original Issue Date

05/15/2024

Effective Date

11/20/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/20/2025