JOSE L FABIAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012659

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

FABIAN

Business Name

JOSE L FABIAN

Original Issue Date

09/06/2007

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012