DEBRA ANNETTE CROCKETT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028313

License Status

ACTIVE

Business

First Name

DEBRA

Middle

ANNETTE

Last Name

CROCKETT

Business Name

DEBRA ANNETTE CROCKETT

Original Issue Date

12/02/2024

Effective Date

12/01/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/01/2025