CAROL A GUSTAFSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005663

License Status

INACTIVE

Business

First Name

CAROL

Middle

Last Name

GUSTAFSON

Business Name

CAROL A GUSTAFSON

Original Issue Date

11/02/1993

Effective Date

12/04/2017

Expiration Date

11/30/2019

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019