JUDITH A FOGLEMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000389

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

FOGLEMAN

Business Name

JUDITH A FOGLEMAN

Original Issue Date

10/07/1989

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015