LIDA JAN WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014271

License Status

ACTIVE

Business

First Name

LIDA

Middle

JAN

Last Name

WAGNER

Business Name

LIDA JAN WAGNER

Original Issue Date

07/29/2010

Effective Date

11/29/2025

Expiration Date

11/30/2027

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/29/2025