DAVID A JAGODA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001816

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

JAGODA

Business Name

DAVID A JAGODA

Original Issue Date

04/28/1990

Effective Date

11/30/2017

Expiration Date

11/30/2019

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020