MARISSA CELINE WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024760

License Status

ACTIVE

Business

First Name

MARISSA

Middle

CELINE

Last Name

WAGNER

Business Name

MARISSA CELINE WAGNER

Original Issue Date

08/12/2022

Effective Date

10/30/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/30/2025