GLEN JOSEPH FORNERIS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017684

License Status

ACTIVE

Business

First Name

GLEN

Middle

JOSEPH

Last Name

FORNERIS

Business Name

GLEN JOSEPH FORNERIS

Original Issue Date

06/11/2015

Effective Date

11/18/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/18/2025