RUSSELL A GUNDERSON PHD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004668

License Status

NOT RENEWED

Business

First Name

RUSSELL A

Last Name

GUNDERSON

Suffix

PHD

Business Name

RUSSELL A GUNDERSON PHD

Original Issue Date

04/03/1992

Effective Date

11/12/2009

Expiration Date

11/30/2011

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

01/05/2012