JOSE L FABIAN - Social Worker License in Illinois | # 149012659

JOSE L FABIAN

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012659

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

L

Last Name

FABIAN

Business Name

JOSE L FABIAN

Original Issue Date

09/06/2007

Effective Date

11/16/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/05/2012