TARA A BAGNOLA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026008

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

BAGNOLA

Business Name

TARA A BAGNOLA

Original Issue Date

10/18/2023

Effective Date

11/17/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/17/2025