JOHN A FISHBURN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014966

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

FISHBURN

Business Name

JOHN A FISHBURN

Original Issue Date

10/28/2011

Effective Date

09/13/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020