MARK A BUCKNER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006621

License Status

INACTIVE

Business

First Name

MARK A

Last Name

BUCKNER

Business Name

MARK A BUCKNER

Original Issue Date

08/17/1995

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015

Case Number

1998000979

Action

Fine

Discipline Start Date

08/21/1998

Discipline Reason

Failing to provide sufficient proof of required continuing education hours during a Department audit.