JENNA ROSE FORREST MANGOLD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015289

License Status

ACTIVE

Business

First Name

JENNA

Middle

ROSE

Last Name

FORREST MANGOLD

Business Name

JENNA ROSE FORREST MANGOLD

Original Issue Date

05/22/2012

Effective Date

11/04/2025

Expiration Date

11/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/04/2025