MARY L MONGAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005661

License Status

INACTIVE

Business

First Name

MARY L

Last Name

MONGAN

Business Name

MARY L MONGAN

Original Issue Date

11/02/1993

Effective Date

11/20/2003

Expiration Date

11/30/2003

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005