LISA A LA FORGE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005060

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

LA FORGE

Business Name

LISA A LA FORGE

Original Issue Date

09/04/1992

Effective Date

11/25/2015

Expiration Date

11/30/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018