LISA ANN WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010906

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

WAGNER

Business Name

LISA ANN WAGNER

Original Issue Date

12/12/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010