EMILY R BERGMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019792

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

BERGMAN

Business Name

EMILY R BERGMAN

Original Issue Date

10/23/2017

Effective Date

10/23/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020