ROBERT A WAGNER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002706

License Status

INACTIVE

Business

First Name

ROBERT A

Last Name

WAGNER

Business Name

ROBERT A WAGNER

Original Issue Date

12/14/1990

Expiration Date

11/30/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2005