CARRIE ANN BERGEN - Social Worker License in Illinois | # 150011383

CARRIE ANN BERGEN

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011383

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

ANN

Last Name

BERGEN

Business Name

CARRIE ANN BERGEN

Original Issue Date

01/31/2008

Effective Date

01/31/2008

Expiration Date

11/30/2009

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/07/2010