SUSAN K EATON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002810

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

EATON

Business Name

SUSAN K EATON

Original Issue Date

12/14/1990

Effective Date

09/08/2009

Expiration Date

11/30/2011

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012