MEGAN KELEHER FASTABEND Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010923

License Status

INACTIVE

Business

First Name

MEGAN

Middle

KELEHER

Last Name

FASTABEND

Business Name

MEGAN KELEHER FASTABEND

Original Issue Date

06/02/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009