SISTER BERGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003378

License Status

NOT RENEWED

Business

First Name

SISTER

Last Name

BERGEN

Business Name

SISTER BERGEN

Original Issue Date

04/28/1990

Effective Date

11/12/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012