PAUL BRIAN FAGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013288

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

BRIAN

Last Name

FAGEN

Business Name

PAUL BRIAN FAGEN

Original Issue Date

10/14/2008

Effective Date

09/21/2023

Expiration Date

11/30/2025

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026