CAROL A GUSTAFSON - Social Worker License in Illinois | # 149005663

CAROL A GUSTAFSON

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005663

License Status

INACTIVE

Business

N

First Name

CAROL

Middle

A

Last Name

GUSTAFSON

Business Name

CAROL A GUSTAFSON

Original Issue Date

11/02/1993

Effective Date

12/04/2017

Expiration Date

11/30/2019

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/04/2019