SUSAN E SANDHOLM Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007088

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

SANDHOLM

Business Name

SUSAN E SANDHOLM

Original Issue Date

06/04/1996

Effective Date

11/15/2017

Expiration Date

11/30/2019

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019