SUSAN L BLOOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003124

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BLOOM

Business Name

SUSAN L BLOOM

Original Issue Date

02/01/1991

Effective Date

01/19/2022

Expiration Date

11/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024