STEPHANIE M FARGO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007245

License Status

NOT RENEWED

Business

First Name

STEPHANIE M

Last Name

FARGO

Business Name

STEPHANIE M FARGO

Original Issue Date

09/12/1996

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018