SUSAN DAVIS LONG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008646

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DAVIS

Last Name

LONG

Business Name

SUSAN DAVIS LONG

Original Issue Date

05/19/1999

Effective Date

01/13/2022

Expiration Date

11/30/2023

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024