MARY ANN F USSELMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002818

License Status

NOT RENEWED

Business

First Name

MARY ANN F

Last Name

USSELMAN

Business Name

MARY ANN F USSELMAN

Original Issue Date

12/14/1990

Effective Date

09/18/2009

Expiration Date

11/30/2011

City

PARK FOREST

State

Zip

60466

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012