THELMA WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005304

License Status

NOT RENEWED

Business

First Name

THELMA

Last Name

WAGNER

Business Name

THELMA WAGNER

Original Issue Date

03/04/1993

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006