MARK S SAMUELSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000936

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

SAMUELSON

Business Name

MARK S SAMUELSON

Original Issue Date

12/22/1989

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025

Case Number

2007009618

Action

Probation

Discipline Start Date

06/12/2009

Discipline Reason

due to failure to keep client notes, exceeding the co-pay limitation on individual therapy and for socializing with a client.