DENA R HAGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009578

License Status

NOT RENEWED

Business

First Name

DENA

Middle

Last Name

HAGEN

Business Name

DENA R HAGEN

Original Issue Date

04/24/2001

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018