JAY M MOGERMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150000049

License Status

INACTIVE

Business

First Name

JAY M

Last Name

MOGERMAN

Business Name

JAY M MOGERMAN

Original Issue Date

03/14/1989

Expiration Date

11/30/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/03/2005