PAUL BRIAN FAGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007973

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

BRIAN

Last Name

FAGEN

Business Name

PAUL BRIAN FAGEN

Original Issue Date

12/07/1999

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010