MARY J MENGEL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003066

License Status

INACTIVE

Business

First Name

MARY J

Last Name

MENGEL

Business Name

MARY J MENGEL

Original Issue Date

01/11/1991

Effective Date

01/22/2002

Expiration Date

11/30/2001

City

DIXON

State

Zip

61021

County

OGLE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005