SUSAN R SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005132

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

SMITH

Business Name

SUSAN R SMITH

Original Issue Date

11/02/1992

Expiration Date

11/30/1997

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

12/16/2005