AVA M SUSSAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008560

License Status

NOT RENEWED

Business

First Name

AVA

Middle

Last Name

SUSSAN

Business Name

AVA M SUSSAN

Original Issue Date

03/25/1999

Effective Date

11/06/2019

Expiration Date

02/28/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022