MARY THERESE FENLON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007044

License Status

INACTIVE

Business

First Name

MARY THERESE

Last Name

FENLON

Business Name

MARY THERESE FENLON

Original Issue Date

05/15/1996

Effective Date

11/26/2003

Expiration Date

11/30/2003

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005