LISA G FOX Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000879

License Status

INACTIVE

Business

First Name

LISA G

Last Name

FOX

Business Name

LISA G FOX

Original Issue Date

12/22/1989

Effective Date

10/24/2017

Expiration Date

11/30/2019

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019