LAFAYETTE R BAGLEY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026408

License Status

ACTIVE

Business

First Name

LAFAYETTE

Middle

Last Name

BAGLEY

Business Name

LAFAYETTE R BAGLEY

Original Issue Date

01/29/2024

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025