SUSAN R LEVINE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000403

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

LEVINE

Business Name

SUSAN R LEVINE

Original Issue Date

10/07/1989

Effective Date

10/10/2003

Expiration Date

11/30/2005

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006