SUZANNE C WIESENECK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000894

License Status

NOT RENEWED

Business

First Name

SUZANNE C

Last Name

WIESENECK

Business Name

SUZANNE C WIESENECK

Original Issue Date

12/22/1989

Effective Date

11/12/2009

Expiration Date

11/30/2011

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012