DAVID R O HUSEMOLLER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006222

License Status

INACTIVE

Business

First Name

DAVID R O

Last Name

HUSEMOLLER

Business Name

DAVID R O HUSEMOLLER

Original Issue Date

11/09/1994

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007