SUSAN N EVANS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010353

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

EVANS

Business Name

SUSAN N EVANS

Original Issue Date

12/16/2002

Effective Date

11/07/2017

Expiration Date

11/30/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020