SUSAN M STASEK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005965

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

STASEK

Business Name

SUSAN M STASEK

Original Issue Date

11/23/1999

Effective Date

08/15/2024

Expiration Date

09/30/2026

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

08/15/2024