PATRICIA A FAGAN-JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008107

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

FAGAN-JACKSON

Business Name

PATRICIA A FAGAN-JACKSON

Original Issue Date

05/18/1998

Effective Date

10/15/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022