DIANE W FAGER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150002247

License Status

NOT RENEWED

Business

First Name

DIANE W

Last Name

FAGER

Business Name

DIANE W FAGER

Original Issue Date

12/22/1989

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006