SUSAN BURKHARDT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000187

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

BURKHARDT

Business Name

SUSAN BURKHARDT

Original Issue Date

10/07/1989

Effective Date

11/05/2013

Expiration Date

11/30/2015

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016