MALLORY LYNN BROCCOLINO Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149030919

License Status

ACTIVE

Business

First Name

MALLORY

Middle

LYNN

Last Name

BROCCOLINO

Business Name

MALLORY LYNN BROCCOLINO

Original Issue Date

12/30/2025

Effective Date

12/30/2025

Expiration Date

11/30/2027

City

CARY

State

Zip

60013

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

06/20/2024