STEPHANIE ANN WAGNER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008680

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WAGNER

Business Name

STEPHANIE ANN WAGNER

Original Issue Date

11/15/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007