AUGUST SUPAN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007817

License Status

ACTIVE

Business

First Name

AUGUST

Last Name

SUPAN

Business Name

AUGUST SUPAN

Original Issue Date

09/18/1997

Effective Date

09/17/2025

Expiration Date

11/30/2027

City

STRASBURG

State

Zip

62465

County

SHELBY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/17/2025