LIDA JAN WAGNER - Social Worker License in Illinois | # 150010994

LIDA JAN WAGNER

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010994

License Status

NOT RENEWED

Business

N

First Name

LIDA

Middle

JAN

Last Name

WAGNER

Business Name

LIDA JAN WAGNER

Original Issue Date

03/05/2007

Effective Date

11/30/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/05/2012