LATARSHA MICHELLE WALLACE-MADISON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150112439

License Status

ACTIVE

Business

First Name

LATARSHA

Middle

MICHELLE

Last Name

WALLACE-MADISON

Business Name

LATARSHA MICHELLE WALLACE-MADISON

Original Issue Date

11/08/2023

Effective Date

11/30/2025

Expiration Date

11/30/2027

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2025