SUSAN KAY BENNETT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008592

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KAY

Last Name

BENNETT

Business Name

SUSAN KAY BENNETT

Original Issue Date

05/05/1999

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006