SUSAN KAY LARSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008493

License Status

INACTIVE

Business

First Name

SUSAN

Middle

KAY

Last Name

LARSON

Business Name

SUSAN KAY LARSON

Original Issue Date

01/25/1999

Effective Date

11/17/2003

Expiration Date

11/30/2005

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005