CARRIE ANN BERGEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011383

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ANN

Last Name

BERGEN

Business Name

CARRIE ANN BERGEN

Original Issue Date

01/31/2008

Effective Date

01/31/2008

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010