MICHELLE JACQUELINE MOGA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008490

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

JACQUELINE

Last Name

MOGA

Business Name

MICHELLE JACQUELINE MOGA

Original Issue Date

01/22/1999

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006