SUSAN P BALFANTZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008527

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BALFANTZ

Business Name

SUSAN P BALFANTZ

Original Issue Date

02/25/1999

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

GENESEO

State

Zip

61254

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006