SUSAN W FACKLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010832

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FACKLER

Business Name

SUSAN W FACKLER

Original Issue Date

02/26/2004

Effective Date

11/21/2023

Expiration Date

11/30/2025

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026