MARY HELEN DERBISH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028485

License Status

ACTIVE

Business

First Name

MARY

Middle

HELEN

Last Name

DERBISH

Business Name

MARY HELEN DERBISH

Original Issue Date

12/18/2024

Effective Date

11/04/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Master's Degree

Ever Disciplined

LastModifiedDate

11/04/2025