SUE CHURCH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002882

License Status

INACTIVE

Business

First Name

SUE

Last Name

CHURCH

Business Name

SUE CHURCH

Original Issue Date

12/18/1990

Effective Date

01/23/2004

Expiration Date

11/30/2003

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005