MONIQUE M FOURNIER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011021

License Status

INACTIVE

Business

First Name

MONIQUE

Middle

Last Name

FOURNIER

Business Name

MONIQUE M FOURNIER

Original Issue Date

07/15/2004

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011