SISAY GRACE EISENMENGER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149030108

License Status

ACTIVE

Business

First Name

SISAY

Middle

GRACE

Last Name

EISENMENGER

Business Name

SISAY GRACE EISENMENGER

Original Issue Date

09/15/2025

Effective Date

09/15/2025

Expiration Date

11/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

08/12/2025