PATRICIA A FAGAN-JACKSON - Social Worker License in Illinois | # 149008107

PATRICIA A FAGAN-JACKSON

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008107

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Middle

A

Last Name

FAGAN-JACKSON

Business Name

PATRICIA A FAGAN-JACKSON

Original Issue Date

05/18/1998

Effective Date

10/15/2019

Expiration Date

02/28/2022

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

07/27/2022