MARY KATHLEEN WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020151

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHLEEN

Last Name

WAGNER

Business Name

MARY KATHLEEN WAGNER

Original Issue Date

03/14/2018

Effective Date

11/26/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/26/2025