LIDA JAN WAGNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010994

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012