DEBRA J WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002747

License Status

ACTIVE

Business

First Name

DEBRA J

Last Name

WAGNER

Business Name

DEBRA J WAGNER

Original Issue Date

12/14/1990

Effective Date

11/28/2025

Expiration Date

11/30/2027

City

EMDEN

State

Zip

62635

County

LOGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/28/2025