CAROLYN GUSTAFSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001800

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

GUSTAFSON

Business Name

CAROLYN GUSTAFSON

Original Issue Date

04/28/1990

Expiration Date

11/30/1999

City

SCALES MOUND

State

Zip

61075

County

JO DAVIESS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006