RICHARD V WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002042

License Status

NOT RENEWED

Business

First Name

RICHARD V

Last Name

WAGNER

Business Name

RICHARD V WAGNER

Original Issue Date

07/31/1990

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

HIGHLAND

State

Zip

62249

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020