MADONNA E GANNON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011094

License Status

NOT RENEWED

Business

First Name

MADONNA

Middle

Last Name

GANNON

Business Name

MADONNA E GANNON

Original Issue Date

08/20/2004

Effective Date

02/25/2022

Expiration Date

11/30/2023

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024