BRIAN TIMOTHY BROCCOLO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027847

License Status

ACTIVE

Business

First Name

BRIAN

Middle

TIMOTHY

Last Name

BROCCOLO

Business Name

BRIAN TIMOTHY BROCCOLO

Original Issue Date

10/02/2024

Effective Date

10/15/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/15/2025