MYRNA RAE FOGARTY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008131

License Status

NOT RENEWED

Business

First Name

MYRNA

Middle

RAE

Last Name

FOGARTY

Business Name

MYRNA RAE FOGARTY

Original Issue Date

04/19/2000

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020