MARY ANN FONTANA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007625

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

FONTANA

Business Name

MARY ANN FONTANA

Original Issue Date

05/20/1997

Effective Date

11/14/2019

Expiration Date

02/28/2022

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022